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[目的]了解某市医疗废物处理工作人员职业暴露发生情况,为规范医疗废物处理工作人员职业安全和医疗废物管理提供依据。[方法]2009年,在某市抽取各级医院、社区门诊、环卫公司等23家单位对直接从事医疗废物处理的工作人员196名进行调查。[结果]调查196人,过去1年里101人发生过锐器伤或者破损的皮肤、黏膜污染,发生率为51.53%。暴露发生率的高低与性别无关,工龄长、文化程度高、防护意识强、接受过培训者暴露发生率较低,相反则较高;环卫公司最高,医院次之,社区门诊最低。医疗废物分类不规范是暴露发生的主要原因,收集打包是暴露发生的主要环节;暴露发生后,15.84%的工作人员能立即自行处理并上报,77.23%自行处理但未报告,6.93%未处理也未上报。[结论]某市医疗废物处理工作人员职业暴露情况较为严重。
[Objective] To understand occupational exposure of medical waste workers in a city and provide basis for regulating the occupational safety and medical waste management of medical waste workers. [Methods] In 2009, 23 hospitals, including all levels of hospitals, community outpatient clinics and sanitation companies, were investigated in a certain city to investigate 196 workers directly engaged in medical waste treatment. [Results] A total of 196 people were investigated. In the past year, 101 people had sharp injuries or damaged skin and mucous membranes, with a rate of 51.53%. The incidence of exposure has nothing to do with gender, long service life, high education level, strong sense of protection, low incidence of trainee exposure, but higher on the contrary; sanitation company highest, followed by the hospital, community outpatient lowest. Non-standard medical waste classification is the main reason for the exposure. Collecting and packaging are the main part of the exposure. After the exposure, 15.84% of the workers can handle it on its own and report it, 77.23% handle it but do not report it and 6.93% Not reported. [Conclusion] Occupational exposure of medical waste workers in a certain city is more serious.