牙科仪器再加工人员中的针刺和尖伤害:中国的发病率和报告实践
Feiruo Hong1, Jiang Zeng1, Junying Ma2
1School of Medicine, Zhejiang University, Hangzhou, China.
International dental journal
|August 6, 2025
概括
在中国,牙科仪器再加工人员 (DIRP) 中,针刺和刺伤害 (NSI) 很常见,高的工作量增加了风险. 经过评估的培训和可管理的工作负载对于预防伤害和提高职业安全至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 预防感染 预防感染
- 牙科公共卫生 牙科公共卫生
背景情况:
- 针刺和尖伤害 (NSI) 对全球医疗保健工作者构成重大风险.
- 牙科仪器再加工人员 (DIRP) 是NSI的脆弱群体,因为他们直接处理受污染的仪器.
- 了解DIRP中NSI发生率和风险因素对于制定有效的预防策略至关重要.
研究的目的:
- 确定中国DIRP中NSI的发生率.
- 在这个人群中确定与NSI相关的关键风险因素.
- 评估当前的NSI报告实践和障碍.
主要方法:
- 在中国进行了一项全国性的横截面研究.
- 分层多阶段随机抽样包括来自130个牙科机构的1942年DIRP.
- 多变量逻辑回归分析确定了NSI的独立预测因素.
主要成果:
- 一年内NSI发生率为21.7%,受影响个人的28.5%报告了多重伤害.
- 较高的仪器处理量 (>每天1000个仪器) 显著增加了NSI风险 (aOR = 5.73).
- 培训后评估与降低NSI风险 (aOR = 0.65) 和增加报告 (aOR = 2.47) 有关.
结论:
- 在中国DIRP中存在大量的NSI流行,与工作量和经验有关.
- 有针对性的干预措施应侧重于工作负载管理和评估培训.
- 简化NSI报告流程对于提高牙科环境中的职业健康至关重要.
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