Investigation on the economic burden of occupational exposure of medical personnel in medical institution_West China Medical Journal

Authors：

ZHOU Ying ¹ ,  ZENG Qiang ²

1. Infection Management Department, the Third Hospital of Mianyang Hospital / Sichuan Provincial Mental Health Center, Mianyang, Sichuan 621000, P. R. China;
2. Department of Respiration, the Third Hospital of Mianyang Hospital / Sichuan Provincial Mental Health Center, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

ZENG Qiang, Email: zengqiang66@126.com

Keywords：

Occupational exposure; Medical institution; Economic burden; Investigation and countermeasures

DOI：

10.7507/1002-0179.201811130

Video：

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Objective To investigate the economic burden of the disposal of medical personnel after occupational exposure in medical institution.Method A retrospective survey method was used to investigate and analyze the costs of inspection, treatment, and vaccination of 112 medical personnel after occupational exposure from January 2014 to December 2016.Results After the occupational exposure, the per capita economic burden on the medical institution for the exposed personnel was (331.80±66.16) yuan; the main expenditure item was the inspection expenses (93.53%); and the expenditure after the exposure of hepatitis B virus accounted for 75.40%, which ranked the top one in the expenditures of blood-derived infectious diseases. Occupational exposure was most likely to occur when dealing with sharps, and the cost of hospital spending accounted for 47.26%. After strengthening interventions such as standard prevention, the per capita cost of occupational exposures in the hospital from 2015 to 2016 showed a downward trend (P<0.05).Conclusions Occupational exposure of medical personnel may cause a certain economic burden on medical institution. It is necessary to strengthen occupational protection, raise awareness of standard prevention, and reduce occupational exposure.

Citation： ZHOU Ying, ZENG Qiang. Investigation on the economic burden of occupational exposure of medical personnel in medical institution. West China Medical Journal, 2019, 34(3): 280-284. doi: 10.7507/1002-0179.201811130 Copy

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3.	黄惠玲, 高晓东, 刘诗勤, 等. 全球医护人员针刺伤的疾病经济负担文献研究. 中国感染控制杂志, 2017, 16(7): 610-615.
4.	李晓玲, 余启碧, 袁世平. 基于监测数据和回顾性调查分析的医务人员针刺伤特点比较. 重庆医学, 2018, 47(9): 1237-1238, 1296.
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6.	周宏, 郑伟, 韩方正, 等. 医护人员职业暴露与防护措施的前瞻性监测研究. 中华医院感染学杂志, 2010, 20(12): 1715-1716.
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9.	王斌华, 李琳, 刘娟, 等. 血源性病原体职业暴露特点及防控费用研究. 中国感染控制杂志, 2018, 17(11): 979-982.
10.	Oh HS, Yoon Chang SW, Choi JS, et al. Costs of postexposure management of occupational sharps injuries in health care workers in the Republic of Korea. Am J Infect Control, 2013, 41(1): 61-65.
11.	李哲成, 陈朝霞, 吴昭颐. 乙肝患者及其家庭成员加强乙肝预防知识健康教育的意义. 中国社区医师, 2016, 32(36): 189, 191.
12.	吴青清, 刘新敏. 乙肝表面抗原阳性孕妇肌肉注射乙肝免疫球蛋白预防母婴传播的临床分析. 中国实用医刊, 20l0, 37(21): 32-33.
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14.	李兰川, 付红. 医务人员血源性职业暴露监测分析与防护对策. 现代医药卫生, 2016, 32(4): 517-519.
15.	常红娟, 梁艳, 秦霞, 等. 护理人员标准预防知﹣信﹣行现状与影响因素的研究. 中国护理管理, 2010, 10(7): 26-29.
16.	吴晓英, 汪道琼. 64例医务人员血源性职业暴露调查分析. 重庆医学, 2011, 40(31): 3191-3193.
17.	陈素贞, 江智霞, 周家梅, 等. 护理人员锐器伤漏报分析及对策. 中国医学创新, 2014, 11(25): 93-96.
18.	张静, 李旭清. 医务人员职业暴露调查分析及防护对策. 华西医学, 2013, 28(8): 1158-1161.

1. 王晓艳, 平宝华, 林永杰, 等. 关于综合医院医务人员血源性职业暴露现状调查及伦理对策探讨. 中国医学伦理学, 2015, 28(3): 308-311.
2. 李映兰. 美国护士预防经血液传播疾病的意识和措施. 中华护理杂志, 2002, 37(8): 633-634.
3. 黄惠玲, 高晓东, 刘诗勤, 等. 全球医护人员针刺伤的疾病经济负担文献研究. 中国感染控制杂志, 2017, 16(7): 610-615.
4. 李晓玲, 余启碧, 袁世平. 基于监测数据和回顾性调查分析的医务人员针刺伤特点比较. 重庆医学, 2018, 47(9): 1237-1238, 1296.
5. 李辉, 陈秀文, 彭操, 等. 中国护士静脉采血针刺伤现状调查. 中国感染控制杂志, 2017, 16(9): 816-819.
6. 周宏, 郑伟, 韩方正, 等. 医护人员职业暴露与防护措施的前瞻性监测研究. 中华医院感染学杂志, 2010, 20(12): 1715-1716.
7. 张敏, 武汝廉. 血源性病原体职业接触防护导则（GBZ/T 213－2008）实施应用指南. 北京: 科学出版社, 2018: 108-111.
8. 吕东红, 李传杰. 74例医疗相关职业暴露调查. 现代预防医学, 2010, 37(16): 3023-3024.
9. 王斌华, 李琳, 刘娟, 等. 血源性病原体职业暴露特点及防控费用研究. 中国感染控制杂志, 2018, 17(11): 979-982.
10. Oh HS, Yoon Chang SW, Choi JS, et al. Costs of postexposure management of occupational sharps injuries in health care workers in the Republic of Korea. Am J Infect Control, 2013, 41(1): 61-65.
11. 李哲成, 陈朝霞, 吴昭颐. 乙肝患者及其家庭成员加强乙肝预防知识健康教育的意义. 中国社区医师, 2016, 32(36): 189, 191.
12. 吴青清, 刘新敏. 乙肝表面抗原阳性孕妇肌肉注射乙肝免疫球蛋白预防母婴传播的临床分析. 中国实用医刊, 20l0, 37(21): 32-33.
13. Cvejanov-Kezunović L, Mustajbegović J, Milosevic M, et al. Occupational exposure to blood among hospital workers in Montenegro. Arh Hig Rada Toksikol, 2014, 65(3): 273-280.
14. 李兰川, 付红. 医务人员血源性职业暴露监测分析与防护对策. 现代医药卫生, 2016, 32(4): 517-519.
15. 常红娟, 梁艳, 秦霞, 等. 护理人员标准预防知﹣信﹣行现状与影响因素的研究. 中国护理管理, 2010, 10(7): 26-29.
16. 吴晓英, 汪道琼. 64例医务人员血源性职业暴露调查分析. 重庆医学, 2011, 40(31): 3191-3193.
17. 陈素贞, 江智霞, 周家梅, 等. 护理人员锐器伤漏报分析及对策. 中国医学创新, 2014, 11(25): 93-96.
18. 张静, 李旭清. 医务人员职业暴露调查分析及防护对策. 华西医学, 2013, 28(8): 1158-1161.

West China Medical Journal

Investigation on the economic burden of occupational exposure of medical personnel in medical institution

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