手术室消毒灭菌管理与医院感染控制  

Management of sterilization and control of nosocomial infections in operating room

作　　者：蒋健梅 

机构地区：[1]恩施州中心医院手术室,湖北恩施445000

出　　处：《中华医院感染学杂志》2012年第8期1664-1665,共2页Chinese Journal of Nosocomiology

摘　　要：目的通过加强手术室消毒灭菌管理,控制医院感染的发生。方法按照《消毒技术规范》规定的操作对消毒灭菌效果进行监测;采用回顾性和现场临床观察方法,观察患者术后伤口情况。结果 2010年医院手术室空气灭菌合格率为98.9%,灭菌物品与消毒物品灭菌合格率均为100.0%,医护人员手卫生合格率为100.0%,与2009年相比,手术室消毒灭菌合格率明显提高;2010年我院Ⅰ类切口术后感染率为0.4%,Ⅱ类切口感染率为2.0%,Ⅲ类切口感染率为5.6%,与2009年相比,医院术后感染率明显降低。结论加强手术室消毒灭菌管理是有效控制医院感染的关键。OBJECTIVE To control the hospital infection trough strengthening the management of sterilization in operating room.METHODS The monitoring of the effect of sterilization and disinfection was performed according to Disinfection Technique Specifications.Clinical observation on the postoperative wound was carried out by retrospective and on-site observation.RESULTS The qualification rate of air sterilization in operating room was 98.9% in 2010;the qualification rates of both antiseptic objects and disinfection objects were 100.0%,the qualification rate of hand hygiene of the medical care personnels was 100.0%.As compared with that in 2009,the qualification rates of disinfection and sterilization in operating room was significantly improved.In 2010,the infection rate of classⅠincision was 0.38%,class Ⅱ incision 2.0%,class Ⅲ incision 5.6%.The rate of post operative infection in hospital was significantly decreased,as compared with that in 2009.CONCLUSION To effectively controll nosocomial infections,it is essential to strengthen the management of sterilization and disinfection in operating room.

关 键 词：手术室 消毒灭菌管理 医院感染控制 

分 类 号：R197.323[医药卫生—卫生事业管理]