被静脉留置针扎伤而通报者共计13件-tmatw.PPTVIP

* * * * * * * Needlestick injuries among to healthcare workers They are truly happening Consequences Long process of follow-up Risk of seroconversion Mentally stressed Patient safety? Something has to be done AppreciationsThe 100 Participating hospitals who report PCIs to C-MESH C-MESH: Center for Medical Employees’ Safety and Health * * * * Cases of occupational infection following a percutaneous exposure have been reported in the literature since the first years of 20th century. However, these cases were sporadic and mainly occurring during laboratory activities. It was towards the end of the 1940s, that reports of serum hepatitis in health care workers alerted the investigators to the risk of occupational exposures to blood. Subsequent studies confirmed the risk to be significant in the health care setting, and recommendations on the use of precautions to prevent exposure to blood and on vaccination against hepatitis B in health care workers were first issued in 1982. As of today, we are aware of more than 30 pathogens or diseases that have been transmitted through needlestick or cuts, alone or in combination, including agents used in animal models and even tumors. However, the three pathogens that pose the greatest risk to health care workers and are responsible for most documented cases of occupationally acquired bloodborne disease are hepatitis B virus, hepatitis C virus, and human immunodeficiency virus. * * * * * * * * * * * * * * * * * * * * However, these results, like the others coming from studies based on surveillance of reported exposures, are biased by underreporting, a major problem which has been extensively studied. Healthcare workers do not report all of the exposures they sustain, mainly because of a low risk perception, difficulties with the reporting system, lack of time and fear of the consequences of a misbehavior. In 1999, during a workshop of the coordinators of the studies on occupational risk in the world, the rates of percut