术中人员流动对手术室空气细菌动态变化及切口感染的影响

发布时间：2018-02-27 02:27

本文关键词： 人员流动细菌含量动态变化切口感染　出处：《中华医院感染学杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的探讨手术室中人员流动对于空气质量及切口感染的影响,并提出相应的措施。方法随机选择医院8间手术室在2014年9月-2015年3月60台手术,分别监测手术过程中人员流动、人员数量及空气中细菌动态变化,同时记录人员流动的原因,进行分析。结果术中人员流动对于空气中细菌变化有着显著的影响,人员流动量的增加使手术野空气含菌量明显升高;在手术开始后0.5h及2h人员流动出现高峰,流动次数分别为(26.4±4.09)次和(40.4±4.54)次,空气含菌量也出现了对应的高峰值(168.88±31.2)CFU/m~3和(179.12±20.9)CFU/m~3。结论通过减少术中人员流动可改善手术过程中空气质量,从而降低切口感染率,临床工作中可以采取相应的措施控制人流、物流。
[Abstract]:Objective to investigate the effect of human mobility on air quality and incision infection in operating room, and to put forward the corresponding measures. Methods A total of 60 operations in 8 operating rooms were randomly selected from September 2014 to March 2015 to monitor the movement of personnel during the operation. At the same time, the reasons for the movement of people were recorded and analyzed. Results during the operation, the changes of bacteria in the air were significantly affected by the movement of personnel. The air bacteriological content in the operation field increased obviously with the increase of the human flow momentum, and the peak movement occurred at 0.5 h and 2 h after the operation, the times of movement were 26.4 卤4.09 and 40.4 卤4.54, respectively. There were also corresponding high peak values of 168.88 卤31.2% CFU / mm3 and 179.12 卤20.9% CFU / mm3 in air. Conclusion the air quality during operation can be improved by reducing the flow of personnel during the operation, and the infection rate of incision can be reduced. The corresponding measures can be taken in clinical work to control the flow of people and the flow of people.
【作者单位】：东营市人民医院手术室;山东大学齐鲁医院急诊科;
【分类号】：R612

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