Department of Nosocomial Infection Management, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), China.
Medical Laboratory, the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), China.
Jpn J Infect Dis. 2023 Sep 22;76(5):289-294. doi: 10.7883/yoken.JJID.2022.492. Epub 2023 May 31.
This study examined the management of occupational bloodborne pathogen exposure at a tertiary hospital in China. This prospective study was conducted at the Zhejiang Hospital of Traditional Chinese Medicine between January 2016 and December 2019. Data on bloodborne occupational exposure management were collected. In total, 460 exposures were reported. The majority of exposures (40.2 %) were from hepatitis B virus (HBV)-positive index patients. Of the 460 cases, 453 (98.5%) exposures were reported timeously, and 371 (80.7%) cases received emergency treatment response and management. Sixty-eight personnel (93.2%) received timely prophylaxis treatment. Only 82/113 (72.6%) personnel completed the recommended follow-up period. Outsourced personnel(P = 0.002) and interns (P = 0.011) were independent follow-up factors. Although adequate compliance was achieved with timely reporting and prophylactic medication, there is room for improvement in terms of emergency treatment response and follow-up compliance. Furthermore, HBV vaccination and improved follow-up with outsourced personnel are recommended.
本研究考察了中国一家三甲医院职业性血源性病原体暴露的管理情况。这项前瞻性研究于 2016 年 1 月至 2019 年 12 月在浙江省中医院进行。收集了血源性病原体职业暴露管理的数据。共报告了 460 例暴露。大多数暴露（40.2%）来自乙型肝炎病毒（HBV）阳性的索引患者。在 460 例中，453 例（98.5%）及时报告了暴露情况，371 例（80.7%）及时接受了紧急治疗反应和管理。68 人（93.2%）及时接受了预防治疗。仅有 82/113 人（72.6%）完成了推荐的随访期。外包人员（P=0.002）和实习生（P=0.011）是独立的随访因素。尽管及时报告和预防性药物治疗的依从性足够，但在紧急治疗反应和随访依从性方面仍有改进的空间。此外，建议接种乙肝疫苗，并加强对外包人员的随访。
