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篇名
內視鏡人員的生物性危害與感染管制
並列篇名
Occupational Adverse Effects and Infection Control in Bronchoscopy
作者 姜秀子莊維倫李秋香 (Chiu-Hsiang Lee)劉昌邦
中文摘要

隨著醫療科技的進步,醫療工作者在執行醫療技術時遭受的職業不良影響也越來越多的關注。如內視鏡手術的醫師,由於需要長時間盯著螢幕,可能導致眼睛疲勞、視力受損問題等。內視鏡技術人員對使用後器械進行再處理器械時易有病原性微生物氣溶膠感染,發生生物性傷害原因來源有內視鏡感染、操作人員感染、檢查過程中感染。而內視鏡汙染病原體常見病原體有沙門菌、假單胞菌、克雷伯菌、腸桿菌、沙雷氏菌和葡萄球菌等。這些感染被發現是由於缺乏對內視鏡的適當再處理,再加上有些病原體會汙染內視鏡,部分在內視鏡消毒過程中不易被消除,因此亦有可能造成工作人員不慎遭受生物性感染。內視鏡職業安全與感染管制措施,對內視鏡再處理的工作人員來說,無論病人的感染狀態如何,其實都有持續的感染威脅,因此需要執行“標準預防措施",最重要原則是要儘量減少血液和體液接觸是關鍵。由於內視鏡的診斷和治療技術在臨床應用中已是快速發展,伴隨著醫護人員經歷的職業暴露和危害問題的日益增加。因此內視鏡人員的職業健康危害暴露和保護能被重視。期望未來能建立介入內視鏡的職業危害暴露通報、和保護的標準與健康監測。

英文摘要

With advancements in medical technology, increasing attention has been paid to the occupational hazards faced by healthcare workers during endoscopic procedures. Physicians performing endoscopic surgery are prone to eye strain and visual impairment because of their prolonged screen time, and technicians responsible for reprocessing the instruments used in such procedures may be exposed to infectious aerosols. Common biological hazards include infections caused by pathogens such as Salmonella , Pseudomonas , Klebsiella , Enterobacter , Serratia and Staphylococcus , often resulting from the inadequate disinfection of endoscopes. Some microorganisms are particularly challenging to eliminate and may persist despite reprocessing, posing an ongoing risk to staff. Considering these threats, endoscopy personnel must adhere to standard precautions, particularly by minimizing contact with blood and bodily fluids. Despite the rapid advancements in endoscopic diagnostic and therapeutic technologies, the occupational exposure risks associated with these techniques are also increasing. Therefore, greater emphasis should be placed on the occupational safety and health of endoscopy personnel. Future efforts should include the development of standardized exposure reporting systems, protective protocols and routine health surveillance systems to create a safer working environment and ensure the well-being of those involved in endoscopic procedures.

起訖頁 057-061
關鍵詞 內視鏡職業健康危害感染管制endoscopyoccupational exposureinfection control
刊名 醫療品質雜誌  
期數 202507 (19:4期)
出版單位 財團法人醫院評鑑暨醫療品質策進會
該期刊-上一篇 評估影片決策工具:醫療人員角色模擬研究
該期刊-下一篇 醫師職場性別友善環境的關懷指標與意義
 

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