Prevalence and control strategies of blood-borne occupational exposures among healthcare workers in Shaoxing Second Hospital from 2020 to 2025
Mingliao Zhu, Yaling Wang, Qiuping Ye, Linghong Wang, Xiufeng Qin, Huidi ShaoObjective
To analyze the characteristics and risk factors of blood-borne occupational exposures among healthcare workers at Shaoxing Second Hospital from 2020 to 2025 and to inform targeted prevention and control strategies.
Methods
A retrospective analysis was performed on 252 blood-borne occupational exposure events reported from January 2020 to December 2025. Occupational distribution, occurrence patterns, exposure routes, high-risk operations, pathogens, and postexposure prophylaxis data were statistically analyzed.
Results
The annual standardized incidence of blood-borne occupational exposures increased year by year. Nurses and staff with <5 years of service were the highest-risk groups. Sharp instrument injuries accounted for 92.46% of exposures. Hepatitis B virus was the dominant known pathogen (25.78%), whereas the hepatitis B virus postexposure prophylaxis rate was only 21.21%.
Conclusions
These findings indicate that healthcare workers at this hospital exhibit distinct high-risk features for blood-borne occupational exposures. To mitigate occupational exposure risks, a systematic and precise prevention program, hierarchical management of high-risk groups, and regular hepatitis B virus immune monitoring are recommended.