眼への血液・体液曝露事例の原因と対策  [in Japanese] Causes and Strategy in Eye Exposed to Blood and Body Fluid  [in Japanese]

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Author(s)

Abstract

  血液・体液曝露の内,眼への曝露は,感染のリスクからは針刺し事例に匹敵することから,眼および眼周辺部への曝露に着目して,医科と歯科の統合後の当大学病院の2年半における,曝露者の職種,曝露物,曝露時の場所について検索した.<br>   その結果,統合後の当大学病院では,血液・体液曝露事例は,全部で67件発生していた.そのうち,眼および眼周辺部への曝露事例は41件発生したが,職種では,看護師19名,医師9名,医学生4名,助産師3名,歯科医師2名,臨床工学技士2名の順であった.曝露物では,血液14件,体液7件,喀痰4件,注射液2件等であった.曝露場所では,手術室14件,一般病室10件,ICU4件,救急部3件,人工透析室3件,分娩室2件,採血室2件,歯科外来2件等であった.特に出産関係でまとめると,6件と多かった.また,曝露事例の総数は67件であったが,その内,眼および眼周辺部への曝露事例は41件であり,全体の61.2%を占めていた.当大学病院の調査結果から,手術室での眼および眼周辺部への曝露が最も多かったことから,手術室のスタッフはゴーグルの着用が必須であることが判明した.<br>

  Among the episodes of blood and body fluid exposure, exposure of the eyes is comparable to needle-stick accident in risk for infection. To clarify exposure of the eyes and periphery, we investigated the occupation of exposed persons, exposed substances, and place of exposure over the past 2 years and 6 months in Tohoku University Hospital, which contains both Medical and Dental Schools. A total of 41 episodes were reported involving exposure of the eyes and periphery. The 41 persons consisted of 19 nurses, 9 physicians, 4 medical students, 3 midwives, 2 dentists, and 2 clinical engineering technologists. Substances involved in these exposures included blood in 14 episodes, body fluid in 7, sputum in 4, and injection in 2. The places of exposure consisted of the operating room in 14 episodes, ward in 10, intensive care unit (ICU) in 4, Emergency Department in 3, dialysis treatment room in 3, delivery room in 2, and blood collection room in 2. In particular, the number of delivery-related episodes was large (n=6). Furthermore, the total number of exposure episodes was 67. Of these, 41 (61.2%) involved the exposure of the eyes and periphery. In Tohoku University Hospital, such exposure was most frequent in the operating room, suggesting that staff working in the operating room must wear goggles.<br>

Journal

  • Japanese Journal of Infection Prevention and Control

    Japanese Journal of Infection Prevention and Control 26(4), 222-227, 2011-07-25

    Japanese Society for Infection Prevention and Control

References:  27

Codes

  • NII Article ID (NAID)
    10030236870
  • NII NACSIS-CAT ID (NCID)
    AA12313188
  • Text Lang
    JPN
  • Article Type
    ART
  • ISSN
    1882532X
  • NDL Article ID
    11192523
  • NDL Source Classification
    ZS9(科学技術--医学--病理学・微生物学・寄生虫学・感染・免疫学・血清学・アレルギー)
  • NDL Call No.
    Z19-3650
  • Data Source
    CJP  NDL  J-STAGE 
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