2020-2024年某口腔专科医院职业暴露流行病学特征

Epidemiological characteristics of occupational exposures in a stomatological hospital from 2020 to 2024

  • 摘要:
    目的 调查分析口腔专科医院职业暴露的现状,探讨职业暴露发生的特点,同时研究影响医生发生职业暴露的因素,提出口腔医疗机构职业暴露防控措施。
    方法 回顾收集青岛大学附属青岛市口腔医院2020-2024年报告的180例职业暴露事件,统计所属科室(专业)、性别、年龄、工龄、年均工作量、年均门诊天数、暴露环节、引发暴露的器械、暴露源情况、职业类型及职称等具体内容, 对不同类别人员职业暴露的发生率进行比较,分析不同职业、职称及科室职业暴露发生率有无差异,以及采用logistic回归对影响医生发生职业暴露的因素进行分析。
    结果 5年内职业暴露发生率为7.52%(180/2 395),其中锐器伤是最主要的暴露方式(99.40%);颌面外科、牙体牙髓科及修复科是职业暴露高风险科室;不同职业的工作人员和不同职称医生职业暴露发生率比较差异均有统计学意义(P<0.05);暴露源阳性或无法追溯的占56.11%;对于医生群体中职称水平(OR=0.328)是职业暴露的保护因素,是否属高危科室(OR=4.912)是口腔职业暴露的危险因素(P<0.05)。
    结论 口腔专科发生职业暴露具有发生率高、形式单一、人群分布集中及暴露源不可控的特点, 应通过完善术前传染病筛查、加强防范意识、规范技术操作及辅助工具的创新降低职业暴露的发生。

     

    Abstract:
    OBJECTIVE To investigate the current status and characteristics of occupational exposure in a stomatological hospital and explore the influencing factors for occupational exposure among dentists so as to propose preventive and control measures for occupational exposure in the stomatological hospital.
    METHODS A retrospective study was carried out to analyze 180 incidents of occupational exposures in Qingdao Stomatological Hospital Affiliated to Qingdao University from 2020 to 2024, involving the departments, names, genders, age, average annual workload, average annual outpatient days, exposure links, instruments leading to exposures, exposure sources, occupational type and professional titles. The incidence of occupational exposure was compared among the subjects with different occupations, professional titles and department affiliations. Logistic regression analysis was performed for the influencing factors for the occupational exposures among the dentists.
    RESULTS The incidence of occupational exposures was 7.52%(180/2395) within the 5 years, and the sharp instrument injury (99.40%) was the predominant exposure approach. The department of oral and maxillofacial surgery, department of restorative dentisty and department of prosthodontics were the departments at high risk of occupational exposures. There was significant difference in the incidence of occupational exposures among the staff and the doctors with different professional titles(P < 0.05). The subjects for whom the exposure source was positive or failed to be tracked accounted for 56.11%. The professional title (OR=0.328) was a protective factor for the occupational exposure among the doctors, and the high-risk department (OR=4.912) was a risk factor for the occupational exposure (P < 0.05).
    CONCLUSIONS The occupational exposures to the stomatology department staff are characterized by high prevalence, monotonous type, concentrated distribution of populations and uncontrollable occupational exposures. It is necessary to complete the preoperative screening of infectious diseases, strengthen the awareness of prevention, standardize the technical procedures and boost the innovation of auxiliary instruments so as to reduce the incidence of occupational exposures.

     

/

返回文章
返回