Management of Occupational Bloodborne Pathogen Exposure among Medical Personnel: a 4-Year Prospective Study

Abstract

To examine the management of bloodborne occupational exposure in a tertiary hospital in China. The prospective study was conducted at Zhejiang Hospital of Traditional Chinese Medicine between January 2016 and December 2019. Data on the blood-borne occupational exposure management was collected. A total of 460 exposures were reported. 40.22% exposures were from hepatitis B virus (HBV)-positive index patients.453 exposures were reported intime, and 371 cases received emergency management. 68/73 received timely prophylaxis. Only 82/113 personnel completed the recommended follow-ups. The outsourcing personnel (P=0.002) and interns (P=0.011) were independent factors of the follow-up. No infections occurred.Although adequate compliance was adhered to with timely reporting and Prophylactic medication, the appropriateness of emergency treatment and compliance with follow-up could be enhanced. Increased availability of HBV vaccination and improved follow-up without sourced personnel are recommended.