论文部分内容阅读
目的探讨洁净手术室环境卫生学监测结果及应对管理策略。方法选择2009年1月-2013年1月期间手术室感染监控员和医院感染办公室专职人员进行手术室环境卫生监测,检查样品共720份,主要为手术间、无菌室等重点房间的空气指标、屋内物品、消毒液和手等方面。结果 720份样品经过检测后,共707份合格,总合格率为98.2%。在所有样品中,基本都达到合格标准,而且均没有检测出致病菌,但对所有样品的合格数和不合格数进行对比,除呼吸气囊外,空气、工作人员手部、物体表面、消毒液、无菌物品和内镜检测项目都符合质控标准。对2009年-2013年的患者的手术切口感染情况分析,手术治疗的感染率由最初的2.7%降至0.6%,差异具有统计学意义(χ2=6.586,P<0.05)。结论本次研究通过增强手术室环境卫生,使手术治疗和护理等工作更加规范,可以减少医疗纠纷,更能明显降低患者的手术感染率,帮助患者早日康复,值得大力推广宣传。
Objective To investigate the results of environmental hygiene monitoring in clean operating room and its management strategies. Methods During January 2009 to January 2013, operating room infection monitoring staff and hospital infection office staff were employed to monitor the operating room environmental hygiene. A total of 720 samples were examined, mainly including air indexes in key rooms such as operating rooms and sterile rooms , House items, disinfectant and hand and so on. Results 720 samples after testing, a total of 707 qualified, with a total pass rate of 98.2%. In all samples, the standard was basically met, and no pathogens were detected. However, the number of qualified and unqualified samples was compared. In addition to the respiratory balloon, the air, the staff’s hand, the surface of the object and the disinfection Liquid, sterile items and endoscopic testing projects are in line with quality control standards. From 2009 to 2013, the infection rate of surgical incision in patients was decreased from 2.7% to 0.6%, the difference was statistically significant (χ2 = 6.586, P <0.05). Conclusion This study can enhance the operating room sanitation, make the operation and nursing work more standardized, reduce medical disputes, significantly reduce the infection rate of patients, and help the patients recover soon. It is worth to promote the publicity.