5S管理法用于麻醉科医院感染控制的调查

发布时间：2018-01-23 20:38

本文关键词： S管理法麻醉科医院感染控制麻醉机通气管道　出处：《中华医院感染学杂志》2015年22期 　论文类型：期刊论文

【摘要】：目的了解5S管理法在医院麻醉科医院感染控制中的作用,为预防和控制医院感染提供有效的管理方法。方法选择2013年7月-2014年10月使用麻醉机和通气管道患者93例,自2014年3月起采用5S管理法控制医院感染,以实施5S管理前后为界,将93例分为管理前组45例和管理后组48例,管理方法包括整理、整顿、清扫、清洁和素养5个环节,对麻醉机与通气管道进行细菌检测评价管理效果。结果在术前检查麻醉机通气系统不同零部件的病原菌;不同零部件均有病原菌检出,而管理后组病原菌的检出率均低于管理前组(χ2=6.081、11.930、14.181、4.055,均P0.05);术前一次性无菌医用材料均无病原菌检出;管理前组的感染率为13.33%,管理后组的感染率为2.08%,管理后组的感染率低于管理前组,差异均有统计学意义(χ2=3.970,P0.05)。结论 5S管理法可有效降低科室的医院感染发生率,有利于提高医院的整体感染管理水平。
[Abstract]:Objective to investigate the role of 5S management in the control of nosocomial infection in hospital anesthesiology. Methods from July 2013 to October 2014 93 patients with anaesthesia and ventilator were selected to provide effective management methods for the prevention and control of nosocomial infection. Since March 2014, the hospital infection was controlled by 5S management method, and 93 cases were divided into pre-management group (45 cases) and post-management group (48 cases). The management methods included sorting out and rectifying. Five links of cleaning, cleaning and accomplishment were carried out to evaluate the effect of bacteria detection and management on anaesthesia machine and ventilator. Results the pathogens of different parts of ventilation system of anesthetic machine were checked before operation. The detection rate of pathogenic bacteria in the control group was lower than that in the pre-management group (蠂 ~ 2 6.081 11.930 ~ 14.181 ~ 4.055, P < 0.05). No pathogenic bacteria were detected in disposable medical materials before operation. The infection rate of the pre-management group was 13.33 and that of the post-management group was 2.08. The infection rate of the post-management group was lower than that of the pre-management group, and the difference was statistically significant (蠂 ~ 2 / 3.970). Conclusion 5s management method can effectively reduce the incidence of nosocomial infection and improve the overall infection management level.
【作者单位】：浙江省台州医院麻醉科;
【基金】：浙江省台州市科技局基金资助项目(1401ky06)
【分类号】：R197.323
【正文快照】： 麻醉科是医院重要的临床科室之一,担负医院择期手术患者和急危重症患者的抢救任务。麻醉科清洗、灭菌和消毒工作的管理直接影响手术患者的预后,发生医院感染不仅给患者造成精神和身体上的痛苦,还增加了住院时间,并给患者带来经济上的负担,严重者还可危及患者生命[1-2]。5S管理

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