Investigation on characteristic of infectious occupational exposure among medical staff in a newly-built hospital

Objective To investigate the characteristics of infectious occupational exposure among medical staff in newly-built hospitals, find out the high risk points of occupational exposure, and formulate occupational safety protection measures accordingly. Methods A retrospective survey in Beijing Tsinghua Changgung Hospital during January 2015 to October 2017 was carried out on occupation exposure, including gender, age, working years, occupation, exposure time, exposure sites, exposed sites and links, exposure to the source of infection and other aspects of the data, using SPSS 16.0 statistical analysis. Results There were 59 infectious occupational exposures. Among 59 infectious occupational exposures, 52 cases (88.1%) were sharp instrument injuries, 7 cases (11.9%) were blood and body fluid exposure. Occupational exposure occurred mainly in nurses (45 cases, 76.3%) , followed by doctors (11 cases, 18.6%) . The median age was 26 years, and the median length of work was 2 years. The location of exposure was mainly ward (26 cases, 44.1%) , followed by operation room (17 cases, 28.8%) . The location of sharp instrument injuries was mainly finger (44 cases, 84.6%) . Sharps were mainly needles (38 cases, 73.1%) , and the proportion of sharp instruments was 80.4%. The main causes of exposure were themselves (41 cases, 77.5%) . Hepatitis B was the main pathogen of exposure (27 cases, 45.8%) . No nosocomial infection was not found at follow-up. Conclusions New hospitals should establish a perfect occupational exposure management system, control the high-risk points, strengthen the occupational safety protection training, standardize the operation, and reduce the incidence of infection. Key words: Medical staff; Occupational exposure; Newly-built hospital; High risk point