医务人员高频接触物体表面卫生状况的调查研究

发布时间：2017-12-28 14:21

本文关键词：医务人员高频接触物体表面卫生状况的调查研究　出处：《中国护理管理》2016年05期 　论文类型：期刊论文

【摘要】：目的:调查医务人员高频接触物体表面的菌落分布情况,为进一步降低医院感染的风险提供依据,进而提高护理质量。方法:在北京市某三级甲等综合医院4个科室选取120个高频接触物体表面,运用琼脂直接接触培养法对其表面进行微生物采样,对其菌种和数量进行分析。结果:在采集的120份标本中分离出217株菌株,其中以革兰氏阳性菌为主。采集的标本中有7株金黄色葡萄球菌和1株肠球菌,经药敏分析有3株为耐甲氧西林金黄色葡萄球菌,1株为高水平庆大霉素耐药肠球菌。对高频接触物体表面卫生状况进行评估,发现其卫生状况较好,但ICU中吸痰管与负压吸引连接处的污染状况最为严重。结论:在ICU中多处检测出耐药菌,应进一步加强ICU耐药菌的防治。该院高频接触物体表面卫生状况较好,但吸痰管与负压吸引连接处的污染状况有待改善,应进一步加强清洁。
[Abstract]:Objective: To investigate the distribution of colonies on the surface of medical staff exposed to high frequency, so as to provide evidence for further reducing the risk of nosocomial infection and improve the quality of nursing. Methods: 120 high frequency contact surfaces were selected from 4 departments of a three grade general hospital in Beijing. Microbial samples were collected by agar direct contact culture, and their strains and quantity were analyzed. Results: 217 strains were isolated from 120 samples, of which Gram-positive bacteria were dominant. There were 7 strains of Staphylococcus aureus and 1 enterococci in the collected samples. 3 of them were methicillin-resistant Staphylococcus aureus and 1 were high level gentamicin resistant enterococci. The hygienic condition of high frequency contact objects was evaluated. It was found that the sanitary condition was good, but the contamination status between sputum suction tube and suction suction in ICU was the most serious. Conclusion: the detection of multidrug resistant bacteria in ICU should be further strengthened for the prevention and control of ICU resistant bacteria. The sanitary condition of the high frequency contact surface of the hospital is better, but the pollution of the suction pipe and the suction junction should be improved, and the cleaning should be further strengthened.
【作者单位】：北京中医药大学护理学院;中日友好医院;首都医科大学护理学院;
【分类号】：R47
【正文快照】： 医院环境中的物体表面是医务人的病人后,容易被病原菌所污染,存人员接触比较频繁的表面,称为高频员工作需要经常接触的地方,其无自留大量容易导致医院感染的病原菌[1]。接触物体表面[2]。污染的高频接触物净能力,在接触有病原菌感染或定植在医院环境物体表面中有一部分医务体

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