丽水市16家医院麻醉机通气系统细菌污染监测

发布时间：2018-01-13 23:33

本文关键词：丽水市16家医院麻醉机通气系统细菌污染监测　出处：《中国消毒学杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的了解丽水市部分综合性医院麻醉机通气系统内部管路的细菌污染状况,为预防全麻醉术后医院感染提供依据。方法通过现场采样与细菌学检验技术,对浙江丽水市16家医疗机构麻醉机通气系统内部管道细菌污染状况进行了监测。结果从16家医疗机构96台麻醉机共采样288份,细菌总数超标139份,超标率为45.83%。麻醉机通气系统内部管道中钠石灰罐、进气口和出气口处细菌污染超标率依次为43.75%、43.75%和57.83%。检出细菌总数最高者达到104cfu/cm2以上,部分标本检出真菌。结论丽水市医疗机构麻醉机通气系统管路内部细菌污染严重,有必要加强专项管理,消除医院感染隐患。
[Abstract]:Objective to investigate the bacterial contamination in anesthetic ventilation system in some general hospitals of Lishui City and to provide evidence for prevention of nosocomial infection after general anesthesia. Methods Field sampling and bacteriological examination were used. Bacterial contamination in the internal pipes of anesthetic ventilation system in 16 medical institutions in Lishui City Zhejiang Province was monitored. Results 288 anesthetic machines were sampled from 96 anesthetic machines in 16 medical institutions. The total number of bacteria exceeded the standard of 139, and the rate of exceeding the standard was 45.83.The rate of bacterial contamination in the internal pipes of the anesthetic ventilation system was 43.75% in the order of sodium lime tank, air inlet and outlet. 43.75% and 57.83.The highest total number of bacteria detected was over 104 cfur / cm2. Conclusion bacterial contamination in anesthetic ventilation system of medical institutions in Lishui is serious, so it is necessary to strengthen special management to eliminate hidden trouble of nosocomial infection.
【作者单位】：丽水市中心医院;
【基金】：丽水市2012公益性技术应用项目(2012JYZB97)
【分类号】：R197.323
【正文快照】： 气管插管全身麻醉离不开麻醉机的使用,共用管道或共用机器的问题普遍存在。麻醉通气系统是麻醉机与患者相连接的联合气路装置,对术中患者的通气与呼吸起着至关重要的作用〔1〕。近年来麻醉机外部管路已基本做到一次性使用或进行消毒处理,但麻醉机内部构造特殊复杂,不易消毒灭

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