scholarly journals Investigation and analysis of blood-borne occupational exposure of medical staff in a hospital in Hubei Province

Author(s):  
Yan Yang ◽  
Junzheng Yang

Objectives By collecting and sorting out the data of 220 blood-borne occupational exposure medical staff' in a hospital in Hubei Province, investigated the present situations and problems of the blood-borne occupational exposure, and the causes were analyzed and the improvement measures for personal safety of the medical staff were also made, which may provide guidance and reference significance for the medical staff. Methods a retrospective survey was conducted to analyze occupational exposure populations by influence factors (gender, age, occupation, occurrence places, occurrence links, and exposure of pathogens types. Results There were 220 medical staff of blood-borne occupational exposure in the hospital in Hubei Province from 2015 to 2017 to be investigated, and the blood-borne occupational exposure populations were mainly concentrated on nurses (65%) and doctors (31.82%) (both of populations accounted for 96.82% in total occupational exposure medical staff), and the age of blood-borne occupational exposure populations were mainly 20~29 years old (61.82%), followed by 30~39 years old (26.82%), 40~49 years old (8.64%), and >50 years old (2.73%). The main occurrence places for blood-borne occupational exposure were wards (46.36%) and treatment room/disposal rooms(26.36%); the main occurrence links of blood-borne occupational exposure were mainly injured during needle extraction (29.09%), stab and cut during treatment (23.64%), disposal of waste (17.27%) and accidental injury during operation (16.82%). The main pathogen types of blood-borne occupational exposure were hepatitis B (HBV) and syphilis, accounting for 36.36% and 10.45%, respectively. Conclusions The population of blood-borne occupational exposure in this hospital mainly concentrated in nurses aged 20-29 years old, followed by doctors, mainly happened at wards and treatment rooms/disposal rooms; the high-risk links were mainly injured during needle extraction and stab and cut during treatment, and the main pathogen types were HBV and syphilis. Those evidences showed that to strengthen the awareness of prevention and operation standard training for the related medical staff (mainly nurses and doctors aged 20-29 years old) and to supervise the relevant departments to do a good job of supervision, it can greatly reduce the incidence and risk of blood-borne occupational exposure in this hospital.

2018 ◽  
Vol 10 (10) ◽  
pp. 3403 ◽  
Author(s):  
Xuesong Zhang ◽  
Ju He ◽  
Zhen Deng ◽  
Jiyue Ma ◽  
Guangping Chen ◽  
...  

The influencing factors of rural residential areas have always been a key research direction in addressing rural problems in China. By introducing a spatial regression model combined with Kernel Density Estimation and Buffer Analysis, this study made a comparative study on the quantification of the influencing factors of rural residential areas in 2009, 2012, and 2015 in Lishan Township, Hubei Province, China. The results showed that the elevation and slope of Lishan Township have always played a decisive role in the distribution of rural residential areas, that the influence of the water system is abnormal, and that the influence of roads and townships has been strengthened based on the spatial statistical analysis. Then, based on spatial econometric regression analysis, the coefficients of “Topographic indices” (CTI) were 0.666, 0.719, and 0.439 in 2009, 2012, and 2015, respectively. The coefficients of Road (CR) were 0.170, 0.112, and 0.108, respectively. The coefficients of Town (CT) were 0.120, 0.127, and 0.166, respectively. The coefficients of Water system (CWS) were 0.166, 0.124, and 0.173, respectively. With the change of time, the influence of road decreased and the influence of town increased gradually. Furthermore, the influence of the water system and topography showed volatility.


2020 ◽  
Author(s):  
Peng Zhpu ◽  
Na Du ◽  
Yingjie OuYang

Abstract Background:The objective of this study isto explore the mental health of healthcare workers went to Hubei for assistance during the outbreak of COVID-19.A total of 210 medical staff who traveled to Hubei Province for assistance in the first time completed the online questionnaire, including the Sleep Self-Assessment Scale (SRSS), Generalized Anxiety Scale (GAD-7), and 9-item patient health questionnaire (PHQ-9). Results:The average score of the SRSS of all the subjects(25.13±6.41)was significantly higher than the national norm(22.14±5.48)(p <0.001). The average score of the GAD-7 of all subjects(12.37±4.89)was at the level of moderate anxiety, while the average score of the PHQ-9 of them (8.90±5.42)was at the level of mild depression. The scores of SRSS and GAD-7 of all males(26.60±6.38, 14.45±3.80)were significantly higher than those of females(23.67±6.12, 10.28±4.99)(p <0.01).Conclusions: In this epidemic, the sleep quality of frontline medical staff in Hubei Province is poor, and the symptoms of anxiety and depression are common, while the anxiety is more prominent. Among them, the sleep and anxiety symptoms of males are more obvious than that of women, suggesting that we should pay attention to the psychological support of male doctors and nurses and provide them with appropriate psychological decompression training. 


Author(s):  
Qiangping Wang ◽  
Xing Huang ◽  
Yansen Bai ◽  
Xuan Wang ◽  
Haijun Wang ◽  
...  

ABSTRACTBackgroundThe novel coronavirus (SARS-CoV-2) has infected a large number of healthcare workers in Hubei province, China. In addition to infectious and respiratory disease physicians, many doctors in other medical fields have been infected.MethodsWe prospectively collected epidemiological data on medical staff members who are working in neurosurgery departments in 107 hospitals in Hubei province through self-reported questionnaires or telephone interviews. Data of medical staff members with laboratory-confirmed coronavirus disease 2019 (COVID-19) were analysed. The final follow-up date was 1 March 2020.FindingsA total of 5,442 neurosurgery department medical staff members were surveyed. One hundred and twenty cases, involving 54 doctors and 66 nurses, were found to have been infected with SARS-CoV-2. The overall incidence was 2.2%. These cases were concentrated in 26 centres, 16 of which had admitted a total of 59 patients with COVID-19 complicated by craniocerebral disease. Medical staff members in centres receiving COVID-19 patients had a higher risk of contracting infection than those in centres not receiving COVID-19 patients (relative risk: 19.6; 95% confidence interval: 12.6–30.6). Contact with either COVID-19 patients (62.5%, 75/120) or infected colleagues (30.8%, 37/120) was the most common mode of transmission. About 78.3% (94/120) of the infected cases wore surgical masks, whereas 20.8% (25/120) failed to use protection when exposed to the source of infection. Severe infections were observed in 11.7% (14/120) of the cases, with one death (0.8%, 1/120). All the infected medical staff members had been discharged from the hospital. A total of 1,287 medical staff members were dispatched to participate in the frontline response to COVID-19 under level 2 protection of whom one was infected. Medical staff members who took inadequate protection had a higher risk of contracting infection than those using level 2 protection (relative risk: 36.9; 95% confidence interval: 5.2–263.6).ConclusionsNeurosurgical staff members in Hubei province were seriously affected by COVID-19. Level 2 protection and strengthening of protective measures are likely to be effective in preventing medical workers from being infected.


2010 ◽  
Vol 26-28 ◽  
pp. 289-292
Author(s):  
Yang Hua Cao ◽  
Xiu Cui Kang

The qualified rate of flux test is decided mainly by the assembly parameters, but for some reasons, the qualified rate especially the one-turn qualified rate had been on a low level for a long time. By applying 6σ methodology, this paper analyzed the influence factors about the flux test and found out the main influence factors firstly; then on base of these analysis results, this paper proposed some improvement measures; finally, this paper validated the effects of these improvement measures by carrying out some tests. The improvement measures proposed in this paper had improved the assembly quality of scavenging pump obviously.


2021 ◽  
pp. 194338752110070
Author(s):  
Shadaab Mumtaz ◽  
James Cymerman ◽  
Deepak Komath

Objectives: There has been a notable surge in cycling injuries during the COVID-19(SARS-CoV-2 virus) pandemic. Cycling in general increased during lockdown as a leisure & fitness activity along with reduction in the use of public transport for commuting. We investigated the bicycle-related maxillofacial injuries & associations presenting through our emergency department(ED) which covers more than 1.6 million of London population. Study Design/Methods: A retrospective observational study was undertaken in the Barnet General Hospital (“hub”) which receives all maxillofacial referrals from 6 “spoke” hospitals & other urgent primary/community care practices in North London area between 16 March 2020 & 16 July 2020. All data corresponding to cycling injuries during the lockdown period was analyzed with the aid of trauma database/trust-wide electronic patient records. Results: Twenty-two patients (6.7%) with cycling-related injuries out of a total of 322 patients who attended during the 4 months study period with maxillofacial emergencies were identified. Average age of patient cohort was 35.4 years, mainly consisting of adult males (77%). Seven patients had minor head injury and 1 patient suffered traumatic brain injury. About 59% patients did not wear a protective helmet & 3 patients had heavy alcohol/recreational drug intoxication during the accidents. Four patients needed inpatient admission and treatment under general anesthesia. Conclusions: Based on our humble study, we advocate the need for robust road & personal safety measures with mandatory government legislations, policing of drug intoxication & encouragement of physical & mental health improvement measures during these unprecedented times & beyond.


2015 ◽  
Vol 4 (2) ◽  
pp. 55-58
Author(s):  
Wenlong He ◽  
Chao Wen ◽  
Xiaoyu Wang

Abstract Purpose: This study aims to gain insights into occupational exposure of medical staff to human immunodeficiency virus (HIV) and to provide effective precautionary measures to protect them against risks arising from blood-borne pathogens. Methodology: Data on 46 confirmed HIV-infected patients were analyzed statistically. Results: Medical staff were exposed to blood-borne pathogens in 45 cases, and most were female and probationary nurses. Risks of occupational exposure of medical staff to HIV increased continuously as more HIV-infected patients were admitted by hospitals each year. Conclusion: Medical staff should receive information about HIV blood-borne pathogen infection of patients, shorten the window period for HIV exposure, and practice specified precautionary measures and cut down risks of exposure to HIV.


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