血液透析室消毒灭菌监测与医院感染控制

发布时间：2018-03-20 22:34

本文选题：血液透析室　切入点：消毒灭菌　出处：《中华医院感染学杂志》2014年21期 　论文类型：期刊论文

【摘要】：目的加强血液透析室消毒灭菌监测,预防和控制血液透析患者医院感染的发生。方法按原卫生部《消毒技术规范》生物监测方法和结果判断标准执行;病例监测采取前瞻性调查的方法,诊断标准按《医院感染诊断标准》执行。结果生物监测2010年采样304份,合格281份,合格率92.43%,其中合格率最低的是透析液80.49%;2011年采样294份,合格291份,合格率98.98%;其中环境空气、工作人员手、无菌物品、消毒物品、使用中消毒液、透析用水合格率均100.00%,物体表面合格率95.83%,透析液合格率97.44%;监测维持血液透析患者2010年168例,感染19例感染率11.36%,2011年175例,感染8例感染率4.57%;感染部位主要是静脉置管部位、呼吸道和泌尿道,2011年与2010年比较差异有统计学意义(P0.05)。结论改变血液透析室布局流程、更新设备设施、严格消毒灭菌、使用一次性医疗用品、严格洗手消毒、加强医疗废物管理,是控制医院感染的重要措施。
[Abstract]:Objective to strengthen disinfection and sterilization monitoring in hemodialysis room to prevent and control nosocomial infection in hemodialysis patients. Case monitoring was carried out according to the criteria of nosocomial infection diagnosis. Results in 2010, 304 samples were collected by biological monitoring, 281 samples were qualified, and the qualified rate was 92.433.The lowest qualified rate was dialysis solution 80.49; in 2011, 294 samples were collected. Among them, ambient air, hands of staff, sterile articles, disinfectants, disinfectant in use, The qualified rates of water for dialysis were 100.00,95.83 for the surface of the object and 97.44 for the dialysate. In 2010, 168 cases of hemodialysis patients were monitored, 19 cases infected with 11.366,175 cases 2011 and 8 cases infected 4.57%. The difference between respiratory tract and urinary tract in 2011 and 2010 was statistically significant (P0.050.Conclusion to change the layout of hemodialysis room, renew the equipment and facilities, sterilize strictly, use disposable medical supplies, wash hands strictly and sterilize, strengthen the management of medical waste. It is an important measure to control nosocomial infection.
【作者单位】：长沙市中心医院护理部;
【基金】：湖南省医药卫生科研计划基金项目(C2013-043)
【分类号】：R187

【共引文献】