Floret N, Ali-Brandmeyer O, L'Hériteau F, Bervas C, Barquins-Guichard S, Pelissier G, Abiteboul D, Parneix P, Bouvet E, Rabaud C
1Est France Infection Control Coordinating Center,Nancy,France.
2Paris-Northern France Infection Control Coordinating Center,Paris,France.
Infect Control Hosp Epidemiol. 2015 Aug;36(8):963-8. doi: 10.1017/ice.2015.80. Epub 2015 Apr 21.
To assess the temporal trend of reported occupational blood and body fluid exposures (BBFE) in French healthcare facilities.
Retrospective follow-up of reported BBFE in French healthcare facilities on a voluntary basis from 2003 to 2012 with a focus on those enrolled every year from 2008 to 2012 (stable cohort 2008-12).
Reported BBFE incidence rate per 100 beds decreased from 7.5% in 2003 to 6.3% in 2012 (minus 16%). Percutaneous injuries were the most frequent reported BBFE (84.0% in 2003 and 79.1% in 2012). Compliance with glove use (59.1% in 2003 to 67.0% in 2012) and sharps-disposal container accessibility (68.1% in 2003 to 73.4% in 2012) have both increased. A significant drop in preventable BBFE was observed (48.3% in 2003 to 30.9% in 2012). Finally, the use of safety-engineered devices increased from 2008 to 2012.
Of the 415,209 hospital beds in France, 26,158 BBFE could have occurred in France in 2012, compared with 35,364 BBFE in 2003. Healthcare personnel safety has been sharply improved during the past 10 years in France.
评估法国医疗机构上报的职业性血液和体液暴露（BBFE）的时间趋势。
对2003年至2012年法国医疗机构自愿上报的BBFE进行回顾性随访，重点关注2008年至2012年每年登记的病例（2008 - 2012年稳定队列）。
每100张床位上报的BBFE发病率从2003年的7.5%降至2012年的6.3%（下降16%）。经皮损伤是上报的最常见BBFE（2003年为84.0%，2012年为79.1%）。手套使用的依从性（从2003年的59.1%提高到2012年的67.0%）和锐器处理容器的可及性（从2003年的68.1%提高到2012年的73.4%）均有所提高。可预防的BBFE显著下降（从2003年的48.3%降至2012年的30.9%）。最后，2008年至2012年安全工程设备的使用有所增加。
2012年法国415,209张医院床位中可能发生26,158起BBFE，而2003年为35,364起。过去10年法国医护人员的安全状况有了显著改善。
