ATP荧光检测法在医院感染管理中的应用  

Application of ATP fluorescence detection method in healthcare-associated infection management

作　　者：谭莉[1] 赖晓全[1] 谭昆[1] 徐敏[1] 熊薇[1] 胡琼洁[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《中国感染控制杂志》2016年第10期777-779,784,共4页Chinese Journal of Infection Control

基　　金：国家自然科学基金资助项目(71473098)

摘　　要：目的：探讨 ATP 荧光检测法用于医院感染管理现场监测督导的效果。方法某院2015年各季度采用生物荧光检测仪对医务人员手、环境物体表面，以及清洁工具的污染情况进行检测，及时反馈检测结果，并提出改进措施。结果共检测1294份标本，合格率为62．75％。医务人员手、环境物体表面，以及清洁工具的检测合格率分别从第一季度的54．35％、50．30％和60．26％，提高至第四季度的76．42％、64．80％和79．52％，经趋势χ2检验，差异均有统计学意义（均 P ＜0．05）。医务人员手、环境物体表面，以及清洁工具对应的相对光单位值（RLU）中位数分别为20．00、85．00和35．00。结论 ATP 荧光检测法用于现场督导，作为评价清洁效果的手段，可以促进手卫生和环境清洁度的持续质量改进。Objective To explore the effect of ATP fluorescence detection on on-site monitoring and supervision of healthcare-associated infection management .Methods ATP bioluminescence analyzer was used to detect the con-tamination status of hands of health care workers（HCWs）,the object surfaces,and the cleaning tools in all quarters of 2015,the detection results were timely given feedback,and improvement measures were put forward.Results A total of 1 294 specimens were detected,the overall qualified rate was 62.75%.The qualified rates of hands of HC-Ws,object surfaces,and cleaning tools increased from 54.35%,50.30%,and 60.26% in the first quarter to 76.42%,64.80%,and 79.52% in the fourth quarter respectively,tendency chi-square test showed that difference was statistically significant （all P 〈0.05）.The median of relative light unit （RLU）of hands of HCWs,object sur-faces,and cleaning tools were 20.00,85.00,and 35.00,respectively.Conclusion ATP fluorescence detection for on-site monitoring and supervision for cleaning and disinfection effect can promote the continuous quality improve-ment of hand hygiene and environmental cleanliness.

关 键 词：ATP荧光检测 手卫生 医院感染 现场监测 清洁消毒 

分 类 号：R181.32[医药卫生—流行病学]