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班加罗尔一家私立三级护理教学医院洗衣房职业健康与安全措施的研究

A study of occupational health and safety measures in the Laundry Department of a private tertiary care teaching hospital, Bengaluru.

作者信息

Kumar M Shashi, Goud B Ramakrishna, Joseph Bobby

机构信息

Division of Occupational Health Services, Department of Community Medicine, St. John's Medial College, Bengaluru, Karnataka, India.

出版信息

Indian J Occup Environ Med. 2014 Jan;18(1):13-20. doi: 10.4103/0019-5278.134951.

Abstract

INTRODUCTION

The Laundry Department plays an important role in preventing the spread of infection and continuously supplying clean linen to various departments in any hospital.

OBJECTIVES OF THE STUDY

To identify existing practices and occupational safety and health (OSH) measures in the Laundry Department and to assess the use of personal protective equipments (PPEs) among health care workers.

MATERIALS AND METHODS

A cross-sectional study was carried out in a private tertiary care teaching hospital. An observation checklist was developed, which was partially based on occupational hazard checklist of OSHA for Laundry Department. This was field tested and validated for applicability for this study.

RESULTS

The potential biological hazards are infections through exposure to aerosols, spills and splashes during various activities, fungal infection due to wet clothes and environment and infections through fomites. The potential physical hazards are injuries due to slips and falls, exposure to heat, humidity, dust, noise, and vibration. The potential chemical hazards are contact dermatitis and allergic asthma due to exposure to detergents, phenyl solution, bleaching powder, and soap oil solution. The potential ergonomic hazards are musculoskeletal diseases and repetitive stress injuries at the shoulder, elbow, and small joints of the hands. PPEs were not used consistently in most areas of the department.

摘要

引言

洗衣房在预防感染传播以及持续为医院各科室供应干净床单方面发挥着重要作用。

研究目的

确定洗衣房现有的操作规范以及职业安全与健康(OSH)措施,并评估医护人员个人防护装备(PPE)的使用情况。

材料与方法

在一家私立三级护理教学医院开展了一项横断面研究。制定了一份观察清单,该清单部分基于美国职业安全与健康管理局(OSHA)洗衣房职业危害清单。对其进行了实地测试并验证了其在本研究中的适用性。

结果

潜在的生物危害包括在各种活动中因接触气溶胶、溢出物和飞溅物而感染、因湿衣服和环境导致的真菌感染以及通过污染物传播的感染。潜在的物理危害包括滑倒和跌倒造成的伤害、暴露于热、湿度、灰尘、噪音和振动。潜在的化学危害包括因接触洗涤剂、苯基溶液、漂白粉和皂油溶液而导致的接触性皮炎和过敏性哮喘。潜在的人体工程学危害包括肩部、肘部和手部小关节的肌肉骨骼疾病和重复性劳损。该科室大多数区域并未始终如一地使用个人防护装备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/995c/4083516/da349e5bdc15/IJOEM-18-13-g001.jpg

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