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引文資料
題名:
急診室醫療工作人員針刺與體液血液意外事件調查
書刊名:
中華公共衛生雜誌
作者:
洪美娟
/
蕭淑銖
/
莊銀清
/
黃崑巖
/
郭育良
作者(外文):
Hung, Mei-chuan
/
Shiao, Judith Shu-chu
/
Chuang, Yin-ching
/
Huang, Kun-yen
/
Guo, Yueliang Leon
出版日期:
1999
卷期:
18:1
頁次:
頁66-76
主題關鍵詞:
針刺傷害
;
血液體液暴觸事件
;
Health care workers
;
Emergency department
;
Sharps injury
;
Exposure
;
Blood and body fluids
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:0
點閱:169
針刺傷害是醫療工作人員常見的職業傷害之一,而醫院的急診室是個緊急的救護單位,經常需要在短時間內處理大量的傷患。因此,發生針刺或體液血液暴觸的意外事件可能較為嚴重。為了解此類事件的嚴重程度,我們調查了台灣地區醫學中心、區域醫院、地區醫院與地區教學醫院共14家醫院的急診部門,共完成372份問卷。有342位(91.9%)醫療工作人員主訴曾發生針刺傷害。以最後一次醫療人員的針刺事件來進行分析,針頭刺傷種類是以一般注射用的針頭(189人,55.3%)為多;因回蓋而被針頭刺傷者有73人(21.3%)。被刺傷後約有80%的醫療工作人員未向所屬單位報告。在刺 傷或體液血液暴觸事件的次數方面,平均每人每年被針頭或銳物刺傷的次數分別為1.43次與1.54次,其自身的皮膚或黏膜接觸到病人的血液體液的次數分別為受傷且破皮的皮膚0.98次、眼睛黏膜0.28次、鼻子黏膜0.13次、嘴巴黏膜0.16次,且發現其使用個人防護用具的情況過低。因此,建議醫院應加強宣導針刺與體液血液防治措施,以減少此類意外事件的發生。
以文找文
It has been well documented that health care workers (HCWs) in the emergency departments (EDs) are at high risk of sustaining sharps injuries (SIs) as well as exposure to blood and body fluids (BBFs). Nevertheless, limited information is available on the prevalence and predisposing factors of these episodes among ED staff in Taiwan. A total of 372 HCWs from EDs of 14 hospitals were surveyed. Questions concerning their most recent SIs were measured. Of those surveyed 91.9%(342/372) had experienced of least 1 SIs. Ordinary needles(55.3%) were responsible for most of the episodes and recapping (21.3%) was the most frequently reported behavior associated with the accidents. The non-reporting rate was 80%. The average rates of needlesticks and other SIs were 1.43 and 1.54/person/year, respectively. The frequencies of exposure to BBFs were 0.98/person/year to non-intact skin, 0.28/person/year to the eyes, 0.13/person/year to mucosa membrane of the nose, and 0.16/person/year to mucosa membrane of the mouth. We c onclude that HCWs in EDs in Taiwan are at high risk of SI as well as exposure to BBFs. A tailor -made preventive education program and provision of protective equipment to HCWs in the EDs are warranted.
以文找文
期刊論文
1.
Kiyosawa, K.、Sodeyama, T.、Tanaka, E.(1991)。Hepatitis C in hospital Employees with needlestick injuries。Ann Intern Med,115,367-369。
2.
Kunches, L. M.、Craven, D. E.、Werner, B. G.、Jacobs, L. M.(1983)。Hepatitis B exposure in emergency medical personnel: Prevalence of serologic markers and need for immunization。Am J Med,75,268-272。
3.
Kelen, G. D.(1990)。Human immunodeficiency virus and the emergency department: risks and risk protection for health care providers。Ann Emerg Med,19,242-248。
4.
Hochreiter, M. C.、Barton, L. L.(1988)。Epidemiology of needlestick injury in emergency medical service personnel。J Emerg Med,6,9-12。
5.
Tanberg, D.、Stewart, K. K.、Doezema, D.(1991)。Under-reporting of contaminated needlestick injuries in emergency health care workers。Ann Emerg Med,20,66-70。
6.
Boylan, J. F.(1992)。Reported hospital needlestick injuries in relation to knowledge/skill, design, and management problems。Infect Control Hosp Epidemiol,13,259-264。
7.
McCormick, R. D.、Maki, D. G.(1981)。Epidemiology of needle-stick injuries in hospital personnel。Am J Med,70,928-932。
8.
Krasinski, K.、LaCouture, R.、Holzman, R. S.(1987)。Effect of changing needle disposal systems on needle puncture injuries。Infect Control,8,59-62。
9.
Whitby, M.、Stead, P.、Najman, J. M.(1991)。Needle-stick injury: impact of a recapping device and an associated education program。Infect Control Hosp Epidemiol,12,220-225。
10.
Sartor, M.、Aglietta, M.、Manzin, A.(1993)。Transmission of hepatitis C via blood splash into conjunctiva。Scand J Infect Dis,25,270-271。
11.
Kew, M. C.(1973)。Possible Transmission of Serum (Australia-antigen-positive) hepatitis via the conjunctiva。Infec Immunity,7,823-824。
12.
Jagger, J.、Powers, R. D.、Day, J. S.、Detmer, D. E.、Blackwell, B.、Pearson, R. D.(1994)。Epidemiology and prevention of Mood and body fluid exposures among emergency department staff。J Emerg Med,12,753-765。
13.
Willlams, W. W.(1983)。Guideline for infection control in hospital personnel。Infect Control,4,326-349。
14.
Centers for Disease Control and Prevention(1987)。Recommendations for prevention of HIV transmission in health care settings。MMWR Supplements,36,3S-18S。
15.
Department of Labor, Occupational Safety and Health Administration(19911206)。Occupational exposure to bloodborne pathogens, final rule。Federal Register,56,64004-64182。
16.
Haiduven, D. J.、DeMaio, T. M.、Stevens, D. A.(1992)。A five-year study of needlestick injuries: Significant reduction association with communication, education, and convenient placement of sharps containers。Infect Control Hosp Epidemiolo,13,265-271。
17.
Zafar, A. B.、Butler, R. C.、Podgorny, J. M.、Mennonna, P. A.、Gaydos, A.、Sandiford, J. A.(1997)。Effect of a comprehensive program to reduce neediestick injuries。Infect Control Hosp Epidemiolo,18,712-715。
18.
Jagger, J.、Balon, M.(1995)。Blood and body fluid exposures to skin and mucous membranes。AEP,1,1-12。
19.
Kelen, G. D.、Hansen, K. N.、Green, G. B.、Tang, N.(1995)。Determinants of emergency department procedure- and condition-specific universal (barrier) precaution requirements for optimal provider protection。Ann Emerg Med,25,743-750。
20.
Baraff, L. J.、Talan, D. A.(1989)。Compliance with universal precautions in a university hospital emergency department。Ann Emerg Med,18,654-657。
21.
Levy, J. A.(1989)。Human immunodeficiency viruses and the pathogenesis of AIDS。JAMA,261,2997-3006。
22.
Almeida, J. D.(1972)。Individual morphilogical variations seen in Australian antigen positive sera。Am J Dis Child,123,303-309。
23.
蕭淑銖、洪美娟、楊月嬌、郭育良(19970400)。南部地區護理人員針頭與銳物刺傷之調查。中華職業醫學雜誌,4(2),93-100。
延伸查詢
學位論文
1.
游芝亭(1995)。針扎發生率與針扎之預防:某醫學中心之針扎事件分析(碩士論文)。國立臺灣大學。
延伸查詢
2.
陳尚民(1994)。護理人員針扎及其相關問題之研究(碩士論文)。國立臺灣大學。
延伸查詢
圖書
1.
Heptonstall, J.、Porter, K.、Gill, O. N.(1995)。Occupational transmission of HIV。London:PHLS Communicable Disease Surveillance Centre。
單篇論文
1.
Guo, Y.-L.,Shiao, J.,Chuang, Y.-C.,Huang, K.-Y.。Needlestick and sharps injuries among health care workers in Taiwan。
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