Management of Occupational Bloodborne Pathogen Exposure among Medical Personnel: a 4-Year Prospective Study.

IF 1.3 4区医学 Q4 INFECTIOUS DISEASES

Japanese journal of infectious diseases Pub Date : 2023-09-22 Epub Date: 2023-05-31 DOI:10.7883/yoken.JJID.2022.492

Xuxia Yu, Tieer Gan, Yuexian Zhu, Minfang Wang, Lili Qian, Ye Lu

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引用次数: 0

Abstract

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.

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医务人员职业性血源性病原体暴露的管理：一项为期4年的前瞻性研究。

本研究调查了中国一家三级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。收集血源性职业接触管理的数据。总共报告了460次暴露。大多数接触者（40.2%）来自乙型肝炎病毒（HBV）阳性指数患者。在460例病例中，453例（98.5%）暴露被及时报告，371例（80.7%）病例接受了紧急治疗响应和管理。68名人员（93.2%）得到了及时的预防性治疗。只有82/113人（72.6%）完成了建议的随访期。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用药取得了充分的依从性，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，并改善外包人员的随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japanese journal of infectious diseases 医学-传染病学

CiteScore

4.50

自引率

4.50%

发文量

172

审稿时长

2 months

期刊介绍： Japanese Journal of Infectious Diseases (JJID), an official bimonthly publication of National Institute of Infectious Diseases, Japan, publishes papers dealing with basic research on infectious diseases relevant to humans in the fields of bacteriology, virology, mycology, parasitology, medical entomology, vaccinology, and toxinology. Pathology, immunology, biochemistry, and blood safety related to microbial pathogens are among the fields covered. Sections include: original papers, short communications, epidemiological reports, methods, laboratory and epidemiology communications, letters to the editor, and reviews.