简介：摘要目的了解基层医院医疗废物回收人员医院感染防护情况,加强对他们的管理教育,减少医院感染.方法采用自行设计的调查表对１５名医疗废物回收人员进行调查.结果１５名医疗废物回收人员中有穿防护服、戴手套、口罩的意识的为８０％,手套破损后及时更换的为３３．３％,知道含氯消毒剂有效浓度的为２０％,知道七步洗手法、暴露后及时处理的仅为６．７％,发生职业暴露的１０人,占６７％,仅有一人暴露后能及时处理,上报医院感染科的有４人,占４０％,没有一人接受药物治疗.结论基层医院医疗废物回收人员是弱势群体,是职业安全和医院感染的高危人群,也是医院感染管理中被忽视的环节,医院管理者要高度重视,加强培训,规范其操作行为,提高个人防护意识及院感防控意识,规范洗手,正确配置消毒液,暴露后正确处理及时上报,以降低医院感染率.关键词基层医院;医疗废物回收人员;个人防护;管理教育AnalysisoftheprimaryhospitalmedicalwasterecyclershospitalinfectionprotectionmeasuresandmanagementeducationChenLiCorrespondingAuthorZhaoAiXin(HospitalofTraditionalChineseMedicineofDayeCity,Daye,Hubei４３５１００,China)AbstractOBJECTIVELearnbasichospitalmedicalwasterecyclershospitalinfectionprotectivecase,Strengthentheirmanagementeducation,Reducehospitalinfections．METHODSAself－designedquestionnairefor１５medicalpersonneltoinvestigatewasterecycling．RESULTS１５medicalwasterecyclingstaffhavetowearprotectiveclothing,gloves,masksawarenessof８０％,Afterthetimelyreplacementofdamagedgloves３３．３％,Knowchlorinedisinfectanteffectiveconcentration２０％,Sevenhandwashingknow,afterexposuretothetimelyprocessingofonly６．７％,Occupationalexposureto１０people,accountingfor６７％,afterapersonisexposedonlytotimelytreatment,InfectiousDiseasesHospitalreportedthattherewerefourpeople,accountingfor４０％,andnoonemedication．CONＧCLUTIONSPrimaryhospitalmedicalwasterecyclersvulnerablegroups,occupationalsafetyandhigh－riskgroupsofhospitalinfection,hospitalinfectionmanageＧmentisneglectedaspectofhospitalmanagersshouldattachgreatimportancetoenhancethetrainingandstandardizeitsoperationalbehavior,raiseawarenessandpersonalprotectionhospitalinfectionpreventionawareness,standardizetheirhands,properlyconfigureddisinfectant,afterexposuretocorrectlyhandlepromptlyreportedtoreducehospitalinfectionrates．KeywordsPrimaryhospital;Medicalwasterecyclers;Personalprotection;Managementeducation中图分类号R１９７文献标识码B文章编号１００８－６３１５(２０１５)１２－１２９６－０１