急救人员的职业暴露与综合预防措施知识调查（翻译有奖）

潮水

美国感染控制杂志2010年第2期
Occupational exposures in emergency medical service providers and knowledge of and compliance with universal precautions
  American Journal of Infection Control
Volume 38, Issue 2, March 2010, Pages 86-94
Shelley A. Harris MSc, PhDa, b, c, ,  and Laura Ann Nicolai MPHd

a Population Studies and Surveillance, Cancer Care Ontario, Toronto, Canada

b Dalla Lana School of Public Health, University of Toronto, Toronto, Canada

c Occupational Cancer Research Centre, Toronto, Ontario, Canada

d Division of Immunization, Virginia Department of Health, Richmond, VA

Background
Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle and lancet sticks in the prehospital environment.

Methods
A convenience sample of workers (n=311, 51% response) from 17 agencies in Virginia that provided emergency ground transportation (volunteer, commercial, government rescue squads, and fire departments) completed a questionnaire on certification and training, KUP, CUP, exposures and needlesticks, risk perceptions, and demographic variables.

Results
Nearly all EMS providers reported exposures and were concerned about risk of HIV and hepatitis. Providers reported inconsistent CUP when treating patients or using needles, including failure to wear gloves (17%) and to appropriately dispose of contaminated materials (79%), including needles (87%), at all times. Certification type (advanced and basic) was related to both KUP and CUP. Of those respondents reporting current sharps use, 40% recapped needles. A lancet stick was reported by 1.4% (n=5), and 4.5% reported a needlestick (n=14).

Conclusion
EMS providers working in the prehospital environment experience significant exposures but are not consistently using universal precautions.

Key Words: Occupational exposure; universal precautions; EMS providers; needlesticks; training; risk perception

老朽

美国感染控制杂志2010年第2期
在紧急医疗服务提供者和知识的普及和遵守职业暴露预防措施
美国感染控制杂志
38卷第2期，2010年3月，页86-94
雪莱答：哈里斯硕士，PhDa，乙，丙，和劳拉安尼古拉MPHd
1人口研究和监测，安大略癌症护理，多伦多，加拿大
b Dalla拉娜公共卫生学院，多伦多，加拿大多伦多大学
荤职业癌症研究中心，多伦多，安大略省，加拿大
D组免疫，弗吉尼亚州卫生，里士满，弗吉尼亚州部
背景
知之甚少，普及预防措施（银联）或血中紧急医疗服务（EMS）供应商体液职业暴露的情况。本研究的目的是获取银联和普及预防措施（古布），职业暴露知识的估计，针和采血支院前的环境。
方法
来自弗吉尼亚州的17个机构的工作人员（不适用= 311，51％的回应），方便样本提供紧急地面运输（志愿者，商业，政府的救援队，和消防部门）完成了认证和培训，古布，杯子，风险问卷和针刺，风险观念，和人口变数。
结果
几乎所有的EMS供应商接触并报告有关艾滋病毒和肝炎的风险有关。供应商报告杯治疗病人时，或用针，包括未能戴上手套（17％），并妥善处理被污染的材料（79％），其中针（87％），在任何时候都不一致。认证类型（先进和基本）是涉及两库普和CUP。
在这些受访者报告使用目前的锐器，40％的重述针。刺血针棒报告了1.4％（5例），和4.5％的1针头（14例）。
结论
EMS供应商在院前的环境经验重大风险，但不坚持用普遍预防工作。
关键词：职业暴露，普及预防，EMS供应商，针刺，培训，风险知觉

直译，有的地方我看着都不合适，仅供参考，期待高手修改斧正!

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你把它翻译出来呀！

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Occupational exposures in emergency medical service providers and knowledge of and compliance with universal precautions  急救人员的职业暴露及综合预防措施知识
Background  Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle and Occupational exposures in emergency medical service providers and knowledge of and compliance with universal precautions。
背景：对急救人员血液和体液职业暴露或执行综合预防措施的依从性了解较少。这个研究的目的是了解急救人员面对针刺伤等职业暴露的综合预防知识情况。A convenience sample of workers (n=311, 51% response) from 17 agencies in Virginia that provided emergency ground transportation (volunteer, commercial, government rescue squads, and fire departments) completed a questionnaire on certification and training, KUP, CUP, exposures and needlesticks, risk perceptions, and demographic variables.方法：来自弗吉尼亚州的17部门的311名工作人员（志愿者、商业人员、政府雇员和消防部门等）接受了关于证书、培训、预防措施知识、预防措施执行、针刺、风险意识和人群类别等方面的问卷调查。Results Nearly all EMS providers reported exposures and were concerned about risk of HIV and hepatitis. Providers reported inconsistent CUP when treating patients or using needles, including failure to wear gloves (17%) and to appropriately dispose of contaminated materials (79%), including needles (87%), at all times. Certification type (advanced and basic) was related to both KUP and CUP. Of those respondents reporting current sharps use, 40% recapped needles. A lancet stick was reported by 1.4% (n=5), and 4.5% reported a needlestick (n=14).
结果：几乎所有被调查的急救人员关注HIV和肝炎职业暴露的风险。急救人员反映在处理病人和使用注射器时没有完成执行预防措施，包括没有戴手套（占17%）和直接处理污物（占79%）以及注射。证书类型与预防措施知识培训相关。被调查者反映在锐器使用中，40%将针头放回针帽，采血针暴露占1.4% (5例),针刺伤报告14例。ConclusionEMS providers working in the prehospital environment experience significant exposures but are not consistently using universal precautions.
结论：急救人员在院前工作环境中容易发生职业暴露但是较少采取预防措施。