季节变化对医院消毒灭菌效果的影响及感染率变化研究

Causes and countermeasures analysis of yellowing of sterilization package dressing

  • 摘要: 目的 了解季节变化对医院消毒灭菌效果及感染率的影响,以期为临床科室制定合理化的消毒监测计划提供依据。方法 采用现场随机抽样的方法,分别按季度对手术室、供应室、血液透析室、ICU、消化内镜室等的空气、灭菌物品、物体表面、医护手指、内镜等进行采样,比较四次采样物品的监测合格率,并分析ICU环境物品合格率与感染率的相关性。结果 环境物品总体合格率92.59%,季度总体及各类物品季度间医院消毒合格率差异无统计学意义,不同物品总体采样合格率差异有统计学意义(P<0.05),ICU医院感染率与环境物品合格率季度变化之间无相关性。结论 医院总体监测合格率平稳,临床制定消毒灭菌方案不需单方面考虑季节变化的因素,应根据科室具体情况开展有目的性、有针对性的消毒监测。

     

    Abstract: OBJECTIVE To understand the impact of seasonal variation on sterilization quality and hospital infection rates, in order to provide a scientific basis of sterilization monitoring plans for clinical departments. METHODS Air quality, sterilizing equipments、surface of objects, hands of hospital staff, and endosopes, etc. in the same operating room, disinfecting supply division, hemodialysis unit, ICU, and digestive endoscopy room, etc. were sampled using random sampling method every three months. The qualified rates of four sampling items were compared, and the correlations between infection rates and qualified rates were analyzed. RESULTS The environmental overall qualified rate was 92.59%, the hospital disinfection qualified rates of quarterly and various types of items had no significances, and overall sampling qualified rates of different types of items had significances (P<0.05). ICU hospital infection rates and environmental qualified rates had no correlations with quarterly changes. CONCLUSION Hospital overall monitoring of qualified rate is stable, clinical development of disinfection and sterilization program does not need to consider the factors of seasonal changes, and certain disinfection monitoring should be carried out according to the specific circumstances of the clinical departments.

     

/

返回文章
返回