医务人员高频接触物体表面卫生状况的调查研究  

Cleaning status of medical staff's high-touch surfaces in hospital enviorment

作　　者：陈炜[1] 李秀华[2] 许春娟[2] 施丽莎 邬巧玲[2] 

机构地区：[1]北京中医药大学护理学院,100102 [2]中日友好医院 [3]首都医科大学护理学院

出　　处：《中国护理管理》2016年第5期692-695,共4页Chinese Nursing Management

摘　　要：目的:调查医务人员高频接触物体表面的菌落分布情况,为进一步降低医院感染的风险提供依据,进而提高护理质量。方法:在北京市某三级甲等综合医院4个科室选取120个高频接触物体表面,运用琼脂直接接触培养法对其表面进行微生物采样,对其菌种和数量进行分析。结果:在采集的120份标本中分离出217株菌株,其中以革兰氏阳性菌为主。采集的标本中有7株金黄色葡萄球菌和1株肠球菌,经药敏分析有3株为耐甲氧西林金黄色葡萄球菌,1株为高水平庆大霉素耐药肠球菌。对高频接触物体表面卫生状况进行评估,发现其卫生状况较好,但ICU中吸痰管与负压吸引连接处的污染状况最为严重。结论:在ICU中多处检测出耐药菌,应进一步加强ICU耐药菌的防治。该院高频接触物体表面卫生状况较好,但吸痰管与负压吸引连接处的污染状况有待改善,应进一步加强清洁。Objective： To investigate the bacterium distribution of the high-touch surfaces of hospital environment and to provide references for further reducing the risk of hospital infections, and to improve care quality. Methods： We selected 120 high-touch surfaces in 4 wards and the samples were collected using RODAC plates. The type and number of bacteria were analyzed. Results： Totally 217 bacterium was found in 120 sample and were mainly gram-positive bacteria. There were 7 staphylococcus aureus and 1 enterococci in ICU. We also found 3 methicillin-resistant staphylococcus aureus and 1 high-level gentamicin resistant enterococci through sensitivity analyzes. Assessing the cleaning satus of high-touch surface, we found the overall situation is fairly well, but the pollution of suction tube in ICU is most serious. Conclusion： We found multiple drug-resistant bacterium in many places of ICU, so healthcare workers in ICU should strengthen the prevention and treatment of multiple drug-resistant bacterium. The cleaning status of high-touch surface in this hospital is fairly well, but the pollution of suction tube should be improved and we should strengthen cleaning.

关 键 词：高频接触 物体表面 卫生状况 

分 类 号：R47[医药卫生—护理学]