摘要
目的 了解医院消毒灭菌状况,及时找出工作中存在问题及解决方法,降低医院感染发生的危险因素。方法 对医院重点科室连续3年 消毒效果进行动态监测与观察,对细菌监测结果进行分析。结果 不同科室及不同监测项目消毒效果不同,手术室合格率最高,达94.4%,新 生儿重症监护室(neonatalintensivecareunit,NICU)、ICU监测合格率受空气消毒效果影响较大,空气质量与室内流动人数有密切关系;3年不 同监测项目比较,无菌物品合格率达100%,低浓度消毒液仍存在安全隐患;空气合格率逐年上升,物体表面以负压瓶盖内面及管道等细菌超 标检出率高,实习生及医生换药前手的监测合格率较低。结论 对重点科室动态环境下的空气及某些临床用具、使用中消毒液必须加强管理, 提高消毒质量;对医务人员、实习生需进一步加强医院感染的在职教育,提高预防和控制医院感染的意识。
Objective To investigate the antisepsis and sterilization in hospital and the dangerous factors related to hospital infection.Methods The bacteria at key departments were dynamically examined to judge the effects of antisepsis and sterilization in hospital.Results There were obvious differences in antisepsis and sterilization effects between different departments: the operating room had the highest qualification rate of 94.4%;the qualification rate neonatal intensive care unit(NICU) and ICU was related to number of people;among the different items,the sterilized items had the highest qualification rate and the antisepsis liquids also had defect of safety.The effect of air sterilization has been improved yearly.The bacteria number on the surface of instrument,inner lip and the tube of sucker and the ward desk was beyond the standard level.The qualification rate of doctors’ or interns’ hand dressing-change was the lowest. Conclusions It is important to strengthen the management of air and instruments sterilization in key departments and the education about the infection is indispensable.
出处
《护理管理杂志》
2004年第9期30-31,共2页
Journal of Nursing Administration
关键词
重点科室
消毒
灭菌
效果监测
key department
antisepsis
sterilization
efficiency supervision
