手术室消毒灭菌监测与医院感染控制  

Disinfection and sterilization monitoring and hospital infection control in operating room

作　　者：唐香祝[1] 阮杏菲[1] 江翠波 

机构地区：[1]广东省茂名市人民医院院感科,广东茂名525000

出　　处：《中国医药科学》2016年第1期188-190,197,共4页China Medicine And Pharmacy

摘　　要：目的探讨加强手术室消毒灭菌监测,对医院感染控制的作用。方法根据《消毒技术规范》中所规定的操作要求对手术室消毒灭菌效果进行监测。研究采用回顾性及现场临床观察方法,观察患者术后伤口情况。结果实施手术室消毒灭菌监测前,空气灭菌合格率、消毒物品灭菌合格率、医护人员手灭菌合格率分别为92.63%、93.75%、88.57%,实施手术室消毒灭菌监测后,空气灭菌合格率、消毒物品灭菌合格率、医护人员手灭菌合格率分别为98.96%、100.00%、100.00%,差异有统计学意义(P<0.05);实施手术室消毒灭菌监测前,手术患者切口感染率为6.41%,Ⅰ类切口感染率、Ⅱ类切口感染率、Ⅲ类切口感染率分别为2.54%、6.22%、11.34%,实施手术室消毒灭菌监测后,手术患者切口感染率为2.57%,Ⅰ类切口感染率、Ⅱ类切口感染率、Ⅲ类切口感染率分别为0.39%、2.21%、5.77%,差异有统计学意义(P<0.05)。结论通过手术室消毒灭菌监测,能够有效提高手术室内空气、设备、器械等灭菌率。此外,还能够有效降低手术患者术后切口感染率,值得推广。Objective To study the effect of disinfection and sterilization monitoring and hospital infection control in operating room. Methods To monitor the effect of disinfection and sterilization in operating room according to the operation requirements stipulate by disinfection technical guidelines.To observe the patients＇ postoperative wound condition according to the methods of retrospectively study and spot clinical observation. Results The differences of the eligible sterilization rate of air, disinfection materials, hands of medical staff after implementation of disinfection and sterilization monitoring（98.96%,100.00%,100.00%）were statically significant compared with which before implementation of disinfection and sterilization monitoring（92.63%,93.75%,88.57%）（P〈0.05）.The differences of the surgical patients＇ wound infection rate after implementation of disinfection and sterilization monitoring（2.57%） was statically significant compared with which before implementation of disinfection and sterilization monitoring（6.41%）（P〈0.05）. The differences of type- Ⅰ,type- Ⅱ,type- Ⅲ wound infection rate after implementation of disinfection and sterilization monitoring（0.39%、2.21%、5.77%） were statically significant compared with which before implementation of disinfection and sterilization monitoring（2.54%、6.22%、11.34%）（P〈0.05）. Conclusion Disinfection and sterilization monitoring could effectively improve the sterilization rate of air, equipment, and instruments in operating room, could effectively reduce the postoperative wound infection rate of surgical patients, is worthy of clinical popularization.

关 键 词：手术室 消毒灭菌监测 医院感染 控制 

分 类 号：R472[医药卫生—护理学]