医疗用水消毒质量调查分析

发布时间：2018-01-15 19:09

本文关键词：医疗用水消毒质量调查分析　出处：《中华医院感染学杂志》2015年11期 　论文类型：期刊论文

【摘要】：目的了解医院医疗用水的用水质量,评价医疗用水的消毒效果,为改进医院消毒与感染控制措施提供依据。方法 2014年11月采用现场查看与采样检测方法,选取两所综合医院和1所口腔专科医院,调查口腔科、血液透析室、消毒供应中心、手术室和内镜室等用水类型、水源、日常消毒情况以及各类型用水的水质、工作流程等。结果 3所医院口腔综合治疗台不同水路水样卫生质量严重超标,其检测合格率水源水66.67%、储水罐水21.43%、冲洗水20.00%、漱口水20.00%、手机喷水15.00%;自来水、纯化水及软化水水质合格率分别为40.62%、25.00%及8.00%;1所综合医院口腔综合治疗台管路消毒前后治疗用水细菌菌落数明显下降;两所综合医院均有1份透析液超标,1所综合医院消毒供应中心(CSSD)初次与终末漂洗水均超标。结论市级医院医疗用水存在安全隐患,尤其是口腔综合治疗椅用水,建议为口腔科综合治疗水路清洗消毒管理制定标准,并加强医疗用水水源的监管,以保障医疗用水安全。
[Abstract]:Objective to understand the water quality of hospital medical water and evaluate the disinfection effect of medical water. Methods in November 2014, two general hospitals and one oral hospital were selected to investigate the stomatology department. The types of water used, such as hemodialysis room, disinfection supply center, operating room and endoscope room, water source, daily disinfection situation and water quality of each type of water. Results the hygienic quality of different water samples in three hospitals exceeded the standard seriously. The qualified rate was 66.67 in source water and 21.43% in storage tank. Rinsing water 20.00, mouthwash 20.00 and mobile phone spraying 15.00; The qualified rates of tap water, purified water and soft water were 40.62% and 8.00% respectively. The number of bacteria colony in the treatment water was obviously decreased before and after the disinfection of the tube of oral comprehensive treatment in 1 general hospital. One sample of dialysate exceeded the standard in both two general hospitals and one disinfectant supply center (CSSD) in one general hospital exceeded the standard for the first time and the final rinse water. Conclusion there are hidden dangers in medical water use in municipal hospitals. Especially for the use of water for the chair of oral comprehensive treatment, it is suggested that the standard for the management of washing and disinfection of the waterway of comprehensive treatment in stomatology should be established, and the supervision of the water source of medical water should be strengthened to ensure the safety of the water for medical use.
【作者单位】：焦作市人民医院感染控制科;焦作市疾病预防控制中心消毒与病媒生物控制科;河南省疾病预防控制中心消毒与媒介生物控制研究室;
【基金】：河南省科技攻关计划基金资助项目(132102310460)
【分类号】：R187
【正文快照】： 医疗用水的污染会增加医源性感染风险及相关疾病的发生,威胁患者及医务人员健康。为了解医医院医疗用水消毒质量,降低医疗用水使用安全风险,河南省疾病预防与控制中心(CDC)于2014年11月对两所三级医院及1所口腔专科医院的医疗用水进行调查,现将结果报道如下。1材料与方法1.1材

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