呼吸机管路消毒效果监测与成本分析

发布时间：2019-07-17 10:25

【摘要】：目的:监测三种不同消毒方法作用下呼吸机管路消毒效果,比较三种不同消毒方法的成本,为基层医院选择有效、经济、安全的呼吸机管路消毒方法提供参考。方法:将240套呼吸机管路按所在医院不同分为A、B、C三组,每组各80套,其中A组采用全自动热力清洗消毒法,B组采用酸性氧化电位水消毒法,C组采用1000 mg/L有效氯浸泡消毒法,每套管路消毒后均及时采样送细菌培养,监测消毒达标率,并计算消毒成本。结果:三种消毒方法消毒效果均达到100%,A组机械热力清洗消毒设备投资、清洗消毒过程耗材与耗时均明显高于B、C组,比较差异有统计学意义(P0.01)。结论:热力清洗消毒成本高,但清洗过程全自动化,管道清洗消毒彻底,且方便保存,有条件的大中型医院应优选。1000 mg/L有效氯浸泡消毒法成本低,但对皮肤及黏膜刺激性大,长期接触对人体有一定的毒性,应尽可能不选。酸性氧化电位水消毒快速、高效、安全、方便,且消毒成本低,基层医院应首选。
[Abstract]:Objective: To monitor the disinfection effect of three different disinfection methods and compare the cost of three different disinfection methods. Methods:240 sets of respirator lines were divided into three groups: A, B and C. Each group was 80 sets, in which group A was a full-automatic thermal cleaning and disinfection method, and group B was treated with acid oxidation potential water, and group C was soaked in 1000 mg/ L effective chlorine for disinfection. And after each set of pipelines is disinfected, the bacteria are sampled and sent to culture, the sterilization rate is monitored, and the sterilization cost is calculated. Results: The disinfection effect of the three disinfection methods was 100%, the investment of the mechanical thermal cleaning and disinfection equipment in group A was significantly higher than that of the B and C groups, and the difference was statistically significant (P0.01). Conclusion: The cost of the heat-cleaning and disinfection is high, but the cleaning process is automatic, the cleaning and disinfection of the pipeline is thorough, and it is convenient to store, and the large and medium-sized hospitals with the conditions should be preferably. 1000mg/ L effective chlorine soaking and sterilizing method is low in cost, but the irritation to the skin and the mucous membrane is large, and the long-term contact has certain toxicity to the human body, It should not be selected as far as possible. The acid oxidation potential water is fast, efficient, safe and convenient, and the disinfection cost is low, and the grass-root hospital should be the first choice.
【作者单位】：南昌大学第二附属医院;江西省修水县中医院;
【分类号】：R187

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