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儿科患者医护人员和学生中经皮暴露事件的发生率

The Prevalence of Percutaneous Exposure Incidents Among Staff and Students Treating Pediatric Patients.

作者信息

Kan Samantha, Ho Vanessa, Siddiqi Allauddin, Zafar Sobia

机构信息

Dr. Kan is a general dental practioners, Perth, Western Australia, Australia.

Dr. Ho is a general dental practioners, Perth, Western Australia, Australia.

出版信息

J Dent Child (Chic). 2019 May 15;86(2):81-87.

PMID:31395112
Abstract

To determine the prevalence and types of percutaneous exposure incidents (PEIs) among staff and students at a dental school, compare the prevalence of PEIs sustained in pediatric dentistry with other specialties, and evaluate the compliance to post-exposure protocols.
First, a retrospective data analysis of PEIs between January 2012 and December 2017 was done. Following that, a cross-sectional study of dental students, dentists, and dental clinical assistants (DCA), using a self-administered questionnaire to collect information regarding PEIs, was conducted between January 2016 and December 2017; post-exposure management data was also collected.
From the archival data, 94 PEIs were recorded, with most exposures occurring among dental students (62.8 percent), followed by dentists (12.3 percent) and DCAs (10.6 percent). Needlesticks (experienced by 35.1 percent) were the most common type of injury. Only three injuries were during a pediatric dental procedure. For the cross-sectional study, there were 223 participants, with 17.5 percent reporting a PEI. The most common type, site, and cause of PEIs were bur use, fingers, and a lapse in concentration, respectively. Almost 40 percent of PEIs were not reported, with the most common reason being "it was only minor".
PEIs are not more likely to occur in pediatric dentistry compared to other disciplines. Improvements are required in the compliance of PEI postexposure management.

摘要

为确定一所牙科学院工作人员和学生中经皮暴露事件(PEIs)的发生率及类型,比较儿科牙科与其他专业中发生的经皮暴露事件的发生率,并评估对暴露后处理方案的依从性。

首先,对2012年1月至2017年12月期间的经皮暴露事件进行了回顾性数据分析。随后,在2016年1月至2017年12月期间,对牙科学生、牙医和牙科临床助理(DCA)进行了一项横断面研究,使用自填式问卷收集有关经皮暴露事件的信息;还收集了暴露后管理数据。

从存档数据中记录了94起经皮暴露事件,大多数暴露发生在牙科学生中(62.8%),其次是牙医(12.3%)和牙科临床助理(10.6%)。针刺伤(占35.1%)是最常见的损伤类型。只有三起损伤发生在儿科牙科手术期间。对于横断面研究,有223名参与者,17.5%报告有经皮暴露事件。经皮暴露事件最常见的类型、部位和原因分别是使用牙钻、手指和注意力不集中。几乎40%的经皮暴露事件未报告,最常见的原因是“只是小伤”。

与其他学科相比,儿科牙科发生经皮暴露事件的可能性并不更高。经皮暴露事件暴露后管理的依从性需要改进。

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