静脉用药调配中心医院感染分析及控制策略  

Analysis and control strategy of hospital infection in pharmacy intravenous admixture service

作　　者：何展旺[1] 赖飚[1] 

机构地区：[1]广东省茂名市人民医院药剂科,茂名市525000

出　　处：《中华实验和临床感染病杂志（电子版）》2016年第2期208-212,共5页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

摘　　要：目的分析本院静脉用药调配中心医院感染情况,采取针对性医院感染控制策略,以降低静脉用药中心医院感染率。方法对2014年7月至2014年9月本院静脉用药调配中心医院感染抽查情况及影响因素进行回顾性分析,自2014年10月至2014年12月采取针对性控制策略,比较实施控制策略前后医院感染情况。结果 76例次医院感染中,配药时未严格执行规范操作37例次(43.53%),配置环境空气消毒不合格23例次(27.06%),药液存放和运输不符合要求10例次(11.76%),配药人员手消毒不合格6例次(7.06%);实施医院感染控制策略后,因配药时未严格执行规范操作、配置环境空气消毒不合格、药液存放运输不符合要求、配药人员手消毒不合格均显著低于实施前(0.0075%vs0.0449%、0.0075%vs 0.0279%、0.0032%vs 0.0121%、0.0011%vs 0.0073%和0.0139%vs 0.0923%)(P=0.000、0.000、0.026、0.032、0.000)。结论静脉用药调配中心医院感染主要影响因素是医务人员未严格执行操作规范与空气污染所致,采取针对性控制策略,有助于降低医院感染发生。Objective To analyze the hospital infection factors of pharmacy intravenous admixture service（PIVAS）, in order to apply hospital infection control strategy, and to reduce the hospital infection rate PIVAS. Methods The situation of spot check and factors for hospital infection of PIVAS from July 2014 to September 2014 in our hospital were analyzed, retrospectively. Targeted control strategy were taken from October 2014 to December 2014, and status of hospital infectionin of before and after the implementation of control strateg were compared. Results Among the 76 cases with hospital infection, dispensing with 37（43.53%） cases with not strictly implement standardized operation, 23（27.06%） cases were of unqualified the environment air disinfection, 10（11.76%） cases were of unqualified liquid storage and transport, unqualified pharmacy personnel hand disinfection with 6（7.06%） cases. After implementation of hospital infection control strategies, dispensing with not strictly implement standardized operation, unqualified of environment air disinfection, unqualified liquid storage and transport and pharmacy personnel hand disinfection unqualified were significantly lower than before implementation（0.0075% vs0.0449%, 0.0075% vs 0.0279%, 0.0032% vs 0.0121%, 0.0011% vs 0.0073%, 0.0139% vs 0.0923%; P all 〈 0.05）. Conclusions The main factors for hospital infection of PIVAS were not strictly carried out operation specification and air pollution, and targeted control strategy will help to reduce hospital infection.

关 键 词：静脉用药调配中心 医院感染 原因分析 控制策略 

分 类 号：R954[医药卫生—药学]