摘要
割伤和针缝伤对于病理学家和验尸人员均构成潜在的致命威胁。我们从2002年至2007年在一家大型德国病理研究所评估了此类伤害,并分析了使用防割手套对这些伤害发生率的影响。在观察期间,伤害报告书中记录了64处伤害(48处割伤和16针缝伤)。大多数受伤部位位于非优势手部,优先位于食指和拇指。大约五分之一的受伤是在惯用手方面。在引入防割手套之前的50个月中,每月平均受伤次数为1.22,比引入防割手套后的平均受伤次数高出七倍(0.158;19个月;p<0.001)。考虑到此类伤害的医疗和管理成本,防割防护手套是在外科手术病理学和尸体解剖中有效且具有成本效益的个人职业安全措施的完成。我们强烈建议使用此类手套,尤其是对于尸检人员。
关键词
割伤、防护手套、抗切割、病理学、职业安全
ABSTRACTS
Cutting injuries and needle-stitch injuries constitute a potentially fatal danger to both pathologists andautopsy personnel. We evaluated such injuries in a large German institute of pathology from 2002 to 2007 and analysed the effect of the introduction of cut-resistant gloves on the incidence of these injuries. In the observation period, 64 injuries (48 cutting injuries and 16 needle-stitchinjuries) were noted in the injury report books. Most injuries were located at the non-dominant hand, preferentially at the index finger and the thumb. Around one fifths of the injuries were at the side of handedness. The average number of injuries per month was 1.22 for the 50 months prior to the introduction of cut-resistant gloves, more than seven times higher than after their introduction (0.158;19months; p < 0.001). Considering the medical and administrational costs of such injuries, cut-resistant protective gloves are an effective and cost-effective completion of personal occupational safety measures in surgical pathology and autopsy. We strongly recommend the use of suchgloves, especially for autopsy personnel.
Keywords
Cutting injury. Protective gloves . Cut-resistant .Pathology. Occupational safety
Table 1 Characteristics of cutting injuries (CI) and needle-stitch injuries (NS) for the respective years (2007: January–September)
表1 各年度(2007年1月至9月)切割伤(CI)和针刺伤(NS)的特征
Table 2 Recommendations for the safe use of blades and needles in pathologic dissection and autopsy divisions
表2 病理解剖和尸检部门安全使用刀片和针头的建议
Fig 3 Graph displaying the reduction of cutting and needle-stitchinjuries after the introduction of cut-resistant gloves (vertical bar)
图3 使用防割手套(垂直条)后减少切割和针头缝合损伤的图表
Florian R. Fritzsche & Manfred Dietel &Wilko Weichert & Ann-Christin Buckendahl,Cut-resistant protective gloves in pathology—effectiveand cost-effective[J]. Springer-Verlag (2008)452:313–318
电子论文下载地址:
https://core.ac.uk/download/pdf/159152776.pdf
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