針扎與血液體液暴觸監控成效

Effect of Needlestick Injury, Blood & Body Fluid Exposure Surveillance System

10.7005/JOSH.201012.0430

蕭淑銖(JSC Shiao)；林洺秀(Ming-Hsiu Lin)；徐儆暉(Jin-Huei Hsu)；秦唯珊(Wei-Shan Chin)；陳秋蓉(Chiou-Jong Chen)；毛義方(I-Fang Mao)

醫療人員 ； 針扎 ； 血液體液暴觸 ； Health care workers ； Percutaneous injury ； Blood and body fluid exposure

勞工安全衛生研究季刊

18卷4期（2010 / 12 / 01）

430 - 441

繁體中文

本文旨在藉由分析使用中文版針扎通報系統(Chinese Exposure Prevention Information Network, EPINet)醫院所呈報之資料，了解許多與針扎相關的資訊並以工作職稱做為針扎防制效果指標之分析。此外亦分析以統一之EPINet系統做為蒐集國內針扎情形之成效與可能性。自2004年至2009年總共有2,780次報告，包括針頭尖銳物刺傷（2,642次）、血液體液暴觸（138次）兩大類。其結果呈現一趨勢，即：醫技人員、護理人員及清潔人員的事件發生率均逐年下降，醫師反之。此外，將國內針扎資料與其他使用EPINet國家之針扎統計資料進行比較後發現除日本之外，台灣針扎主因仍為回套，且遠高於其他國家，而這些意外事件所花費的費用總共是新台幣3,214,744元整；若以臺灣每年約8,286次針扎估算之，則平均每年因針扎所產生之檢驗的費用就約為新台幣11,900,000元。另外，本文亦比較其他國家的針扎相關法規以做為台灣未來繼續推動針扎與血液體液暴觸通報及制定相關安全法規的參考。

This paper aims to understand factors associated with percutaneous injuries (PIs) in health care workers through analyzing the data collected by using Chinese Exposure Prevention Information Network (Chinese EPINet). A total of 2,780 reported cases as of December 09, 2009, including 2,642 reported to be exposed to a needlestick injury and 138 were exposed to patients’ Blood and body fluids (BBF).There is a decreased prevalence of PIs among technicians, nursing and support personnel, while mildly increasing trend in physicians was found. While comparing with other countries, ”recapping” was the most frequently found risk factor of PIs in Japan followed by Taiwan. The total cost was NTD: 3,214,744 for all reported PIs, and NTD: 11,900,000 per year if underreporting being taken into account. This paper also discusses regulations/laws on PIs in other countries, to provide a better understanding and basis for our future regulations/guidelines development.

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