血液净化中心环境卫生学监测及管理策略  

Environmental hygiene monitoring and management in blood purification center

作　　者：张晓莺[1] 林妙芬[1] 

机构地区：[1]汕头大学医学院第二附属医院血液净化中心,515041

出　　处：《实用医学杂志》2015年第16期2763-2765,共3页The Journal of Practical Medicine

摘　　要：目的:分析血液净化中心环境卫生学监测结果,并探讨应对管理策略。方法:选择2010年1月至2014年12月期间,医院感染监控人员对血液净化中心进行环境卫生学监测,检查样品总数为656份,主要分为空气指标、物体表面、透析用水、医务人员手。对2010年1月至2014年12月进行血透双腔临时导管置管术患者出现导管感染情况分析。结果:656份样品经过检测后,共613份合格,总合格率为96.4%。所有监测样品基本都达到合格标准,而且均没有检测出致病菌。对2010年1月至2014年12月进行血透双腔临时导管置管术的患者出现导管感染情况分析,感染率由2010年的8.6%下降至2014年的3.4%。2014年与2010年比较,差异具有统计学意义(χ2=7.73,P<0.01)。结论 :通过加强血液净化中心环境卫生学监测,使透析治疗和护理等工作更加规范,能明显降低透析患者的临时血透双腔导管的感染率,提高患者生活质量。Objective To analyze themonitoring results of environmental hygiene inthe Blood Purification- Center and explore the management. Methods Hospitalinfection control personnel carried on the environmental hygiene monitoring in the blood purification center from 2010 January 2010 to December 2014. A total of 656 sampleswere examined, with monitoring covering airindex, surface of objects, hands of medical staffs and dialysis water. The infections from temporarydouble lumen catheteration were analyzed during the period. Results Of the 656 examinedsamples, 613 were qualified, with the overall pass rate of 96.4%. All the monitoring samples basi- cally achieved the qualified standard, with zero detection rate of the pathogen. The temporarydouble lumen catheterinfeetion rate was decreased from 8.6% to 3.4% during the period andthe difference was statistically significant between 2014 and 2010 （X2 = 7.73, P 〈 0.01 ）. Conclusion Strengthening the environmental hygiene monitoring may help increase the dialysis treatment and nursing work, decrease the infection rate of temporary double lumen catheter in hemodialysis patients and improve their quality of life.

关 键 词：血液净化中心 环境卫生学监测 医院感染 管理策略 

分 类 号：R197.32[医药卫生—卫生事业管理]