复用医疗器械使用环节医院感染的危险因素分析  

Risk factors for nosocomial infection in use of recyclable medical instruments

作　　者：戴李中[1] 朱亚君[1] 倪佳音[1] 于美芳[2] 马红丽[3] 王志娟[3] 

机构地区：[1]绍兴市人民医院浙江大学绍兴医院消毒供应中心,浙江绍兴312000 [2]绍兴市人民医院浙江大学绍兴医院医院感染科,浙江绍兴312000 [3]绍兴市人民医院浙江大学绍兴医院护理部,浙江绍兴312000

出　　处：《中华医院感染学杂志》2017年第16期3830-3832,共3页Chinese Journal of Nosocomiology

基　　金：浙江省绍兴市科技计划基金资助项目(2013B70070)

摘　　要：目的分析复用医疗器械使用环节医院感染的危险因素,并总结其针对性防范方法。方法回顾性分析2016年1月-2016年12月医院感染科存档的270份复用医疗器械生物监测原始资料,分析复用医疗器械使用环节可能存在的相关危险因素以及采取的针对性防范措施,并与2015年1月-2015年12月的240份原始资料的空气生物监测、物表生物和工作人员手监测合格率进行比较。结果通过分析医院2016年度复用医疗器械使用环节发现医院感染危险因素主要为空气污染、物体表面污染和工作人员手污染等,针对性采取积极有效的防范措施后,2016年度空气生物监测、物表生物和工作人员手监测合格率较2015年度显著提高,差异有统计学意义(P<0.05),且防范措施实施后医护人员对复用医疗器械满意度98.86%显著高于实施前的89.77%。结论复用医疗器械使用环节中周围空气环境、承载物体表面以及工作人员均具有一定程度的诱发感染危险因素,临床需加强感染培训及监管力度,从而有效防止医院感染的发生。OBJECTIVE To investigate the risk factors for nosocomial infections in use of recyclable medical instruments and put forward the targeted prevention measures.METHODS Totally 270 original data with respect to biological surveillance of recyclable medical instruments that were archived in infection control department from Jan 2016 to Dec 2016 were retrospectively analyzed, the related risk factors were analyzed during the application of the recyclable medical instruments, the targeted prevention measures were put forward, and the qualified rates of biological surveillance of air, object surfaces and surveillance of staffs＆#39; hands were compared between Jan-Dec, 2015 and Jan-Dec, 2016.RESULTS The air pollution, contamination of object surfaces and contamination of staffs＆#39; hands were the major risk factors for the nosocomial infection during the application of recyclable medical instruments in 2016, the qualified rates of biological surveillance of air, object surfaces and surveillance of staffs＆#39; hands were significantly increased in 2016 after the targeted prevention measures were taken （P〈0.05）.The satisfaction with the recyclable medical instruments was 98.86% after the prevention measures were taken, significantly higher than 89.77% before the prevention measures were taken.CONCLUSION The air pollution, contamination of object surfaces and contamination of staffs＇ hands are the risk factors for the nosocomial infection during the application of recyclable medical instruments.It is necessary for the hospital to strengthen the training of infection control and intensify the supervision so as to effectively prevent the nosocomial infections.

关 键 词：医院感染 复用医疗器械 使用环节 危险因素 

分 类 号：R197.3[医药卫生—卫生事业管理]