title: The status of occupational blood and infectious body fluids exposures in five blood centres in China: a 5-year review.
abstract: BACKGROUND
  Little information about the occupational exposures to blood and body fluid (BBF) among blood service workers (BSWs) in blood stations in China is available currently.
  
  
  OBJECTIVE
  To assess current status of occupational exposure to BBF and assess the knowledge about occupational blood-borne pathogen exposures and universal precaution among BSWs in blood donations in China. To understand the incidence of occupational exposure in five blood centres in China.
  
  
  METHODS
  A cross-sectional study was conducted from January 2008 to December 2013.
  
  
  RESULTS
  There were a total of 99 BBF exposures reported during the study period. The total incidence of BBF exposures was 4.4 per 100 person-years. Higher rates were observed for persons employed less than five years and persons less than 45 years old. Nurses have the highest percentage (49.5%) of BBF exposures. BBF exposures occurred most commonly during the afternoon (62.7%). Percutaneous injuries were the most common BBF exposures. Most incidents occurred during sharps use (73.4%). The major cause of occupational exposure was that there was no continuous training (48.4%) and improper use of equipment (23.2%). Only 56.6% of BBF exposures had appropriate first aid measures. During this research work, one staff member was reported to have seroconverted to syphilis after BBF exposure.
  
  
  CONCLUSIONS
  To reduce BBF exposures, it is urgent to take several effective actions in China, including improved occupational health systems, adequate education, administrative support, increased use of standard precautions, better safety devices/products and work practices.
authors.affiliation: Key Laboratory of Blood Safety Research, Ministry of Health, Hangzhou, Zhejiang, People's Republic of China.
authors.forename: Y J
authors.initials: YJ
authors.lastname: Wang
authors.affiliation: Key Laboratory of Blood Safety Research, Ministry of Health, Hangzhou, Zhejiang, People's Republic of China.
authors.forename: Z H
authors.initials: ZH
authors.lastname: Meng
authors.affiliation: Key Laboratory of Blood Safety Research, Ministry of Health, Hangzhou, Zhejiang, People's Republic of China.
authors.forename: X F
authors.initials: XF
authors.lastname: Zheng
authors.affiliation: Blood Center of Ninbo city, Ningbo, People's Republic of China.
authors.forename: X X
authors.initials: XX
authors.lastname: Tang
authors.affiliation: Blood Center of Shaoxin city, Shaoxin, People's Republic of China.
authors.forename: L Y
authors.initials: LY
authors.lastname: Sang
authors.affiliation: Blood Center of Jinhua city, Jinhua, People's Republic of China.
authors.forename: X-M
authors.initials: XM
authors.lastname: Du
authors.affiliation: Blood Center of Huzhou city, Huzhou, People's Republic of China.
authors.forename: Y-Z
authors.initials: YZ
authors.lastname: Cheng
mesh_terms: D000328:Adult; D001769:Blood; D001771:Blood Banks; D001782:Blood Donors; D017848:Blood-Borne Pathogens; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009726:Nurses; D016273:Occupational Exposure; D012189:Retrospective Studies
keywords: blood and body fluid; blood centre; mucous-membrane exposure; occupational exposure; percutaneous injury