床单元消毒法预防医院感染的效果评价

发布时间：2018-03-06 06:15

本文选题：床单元　切入点：区域消毒法　出处：《中华医院感染学杂志》2014年01期 　论文类型：期刊论文

【摘要】：目的探讨医院ICU疑似或发生耐药鲍氏不动杆菌暴发流行时应用床单元区域消毒法进行消毒的效果。方法疑似泛耐药鲍氏不动杆菌暴发流行时,立即对ICU常态环境下进行第1次采样检测目标菌;腾空病房按常规方法终末消毒后进行第2次采样检测;改进方法采用床单元区域消毒法重新消毒,并第3次采样检测目标菌。结果 ICU环境鲍氏不动杆菌第1次常态下总检出率45.5%,其中床单元组70.0%;第2次常规方法终末消毒后总检出率25.0%,床单元组62.5%;第3次采取床单元区域消毒法消毒后检出率0。结论采取床单元区域消毒法可使环境消毒更为彻底有效,在疑似或发生鲍氏不动杆菌医院感染暴发时,对切断传播途径有着积极的意义,是加强干预措施的重要组成部分。
[Abstract]:Objective to investigate the efficacy of bed unit area disinfection in the outbreak of Acinetobacter baumannii in ICU. In the normal environment of ICU, the first sampling was carried out immediately to detect the target bacteria, the second sampling was carried out after the final disinfection of the empty ward according to the routine method, and the improved method was re-sterilized by the bed unit area disinfection method. Results the total detectable rate of Acinetobacter baumannii in ICU environment was 45.555% under the first normal condition, in which the bed unit group was 70.00.The total detection rate of the second routine method was 25.0 after final disinfection, and the bed unit group was 62.5g; the third time the bed was taken. Conclusion the bed unit area disinfection method can make environmental disinfection more complete and effective. Acinetobacter baumannii nosocomial infection outbreak is of positive significance in cutting off the transmission route and is an important part of strengthening intervention measures in the event of suspected or occurred Acinetobacter baumannii nosocomial infection outbreak.
【作者单位】：杭州市西溪医院院感科;杭州市西溪医院检验科;杭州市西溪医院科教科;杭州市西溪医院ICU;
【基金】：浙江省卫生厅基金资助项目(2010KYA164)
【分类号】：R187

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