Davanzo Elisabetta, Frasson Clara, Morandin Marta, Trevisan Andrea
Department of Environmental Medicine and Public Health, University of Padova, Padova, Italy.
Am J Infect Control. 2008 Dec;36(10):753-6. doi: 10.1016/j.ajic.2008.04.254. Epub 2008 Oct 22.
Occupational exposure to bloodborne pathogens caused by percutaneous injuries or mucosal contamination is common in hospital settings.
Reports of exposures to human blood and body fluids from Padua university health care workers since 2004 to 2006 and compliance with follow-up after injury according to the patients' source were analyzed.
The injury reports were 497. The residents in surgery and anesthesiology were significantly more injured than others, and the compliance with follow-up was low: from 26.3% (hepatitis B virus) to 40% (hepatitis C virus) with a positive source, less than 30% with a negative source, as far as 40% with an unknown source. No seroconversion was observed in subjects completing the follow-up.
We suspect underestimation of injury reports and low compliance with the follow-up requests that health care workers adhere to the protocols and follow the standard procedures to prevent exposures to bloodborne pathogens.
在医院环境中，经皮损伤或黏膜污染导致的职业性血源性病原体暴露很常见。
分析了帕多瓦大学医护人员自2004年至2006年期间接触人体血液和体液的报告，以及根据患者来源在受伤后进行随访的依从性。
损伤报告有497份。外科和麻醉科的住院医生受伤明显多于其他人员，随访依从性较低：来源为阳性时，乙肝病毒的随访依从性为26.3%，丙肝病毒为40%；来源为阴性时，随访依从性低于30%；来源不明时，随访依从性达40%。完成随访的受试者未观察到血清转化。
我们怀疑损伤报告被低估，且随访依从性较低，这就要求医护人员遵守规程并遵循标准程序以预防血源性病原体暴露。
