呼吸机相关性肺炎环境致病菌的监测及消毒对策  

MONITORING AND ANTISEPTIC POLICY ANALYSIS OF ENVIRONMENT PATHOGENIC BACTERIA WITH VENTILATOR-ASSOCIATED PNEUMONIA

作　　者：乔宏[1] 邓小虹[1] 李宗麟 王若东 张俐[4] 王劲[1] 

机构地区：[1]北京市疾病预防控制中心,北京100013 [2]北京东城区疾病预防控制中心 [3]北京东直门中医医院 [4]北京和平里医院

出　　处：《中国消毒学杂志》2011年第3期295-296,共2页Chinese Journal of Disinfection

摘　　要：目的研究呼吸机相关性肺炎外环境中致病菌种类及其来源,探讨呼吸机消毒措施。方法通过现场调查和采样检测方法,对北京市部分医院呼吸科和重症监护病房使用呼吸机的患者接触的物品与环境进行了调查。结果医院呼吸科和重症监护病房物体表面、室内空气、呼吸机操作面板、外管路内接口、湿化瓶内表面、湿化水、呼吸机整机气路以及病房护士手上均检出细菌阳性标本,但患者痰液标本与消毒后呼吸机上和环境物品上均未检出同源菌株。结论医院呼吸科和重症监护病房患者痰标本未检出与消毒后呼吸机上同源菌株,提示医院所实施的呼吸机清洗消毒指南规范的方法有效。Objective To research species and source of environment pathogenic bacteria with ventilator-associated pneumonia（VAP） and discuss to disinfection measures.Methods Field sampling and detection were used to investgate the material and enviromental contact with patient used ventilator in respsratory word and ICU in Beijing Hospital.Results Bacterium were detected out from the table outside environment,air,operation nurse＇s hands,air route,operation panel,the outer line interfacing,a bottle of the inner surface wet,water with wet of breathing machine.But the same kind of bacteria is not detected from sputum culture of contemporaneous in-patients and samples of environment with disinfected breathing machine.Conclusion Ectogenous infection was not detected from environment with disinfected breathing machine through above analysis.Trial of the surface with the guide to recover breath was effective for specification for the cleaning and sanitizing and reducing infection of VAP from environment.

关 键 词：呼吸机消毒 致病菌 重症监护病房 消毒措施 

分 类 号：R197.323[医药卫生—卫生事业管理]