酸性氧化电位水在野战方舱医院感染控制中的应用  

Application of acidic electrolyzed oxidizing water in the control of healthcare-associated infection in mobile field hospital

作　　者：罗廷刚 刘亚男[1] 王晨宇 赵丽君 樊毫军[1] 武周炜[1] 石莹[1] LUO Ting-gang;LIU Ya-nan;WANG Chen-yu;ZHAO Li-jun;FAN Hao-jun;WU Zhou-wei;SHI Ying(Affiliated Hospital of Logistics University of Chinese People’s Armed Police Forces,Tianjin 300162,China;Shanxi Herr Gas System Engineering Co.,Ltd,Beijing 100089,China)

机构地区：[1]武警后勤学院附属医院,天津300162 [2]山西埃尔气体系统工程有限公司,北京100089

出　　处：《中国感染控制杂志》2018年第9期819-822,830,共5页Chinese Journal of Infection Control

摘　　要：目的研究并分析酸性氧化电位水在方舱医院感染控制中的应用效果。方法在方舱医院分别用酸性氧化电位水与各类常用清洁消毒制剂进行手卫生、环境物体表面消毒和医疗器械清洗,采用ATP生物荧光检测仪检测并评价清洗、消毒效果。结果使用流动水及皂液和酸性氧化电位水洗手的合格率分别为100.00%、98.75%,两组比较差异无统计学意义(P=1.000)。使用酸性氧化电位水、含氯消毒剂、复合双链季铵盐消毒湿巾对环境物体表面进行消毒,合格率分别为87.10%、90.32%、90.32%,3种方法的合格率比较差异无统计学意义(P=1.000)。使用酸性氧化电位水和常规器械清洗方法对器械进行清洗,清洗后合格率均为100%。器械样本相对光单位(RLU)的均值、标准差、均值的标准误酸性氧化电位水清洗后均为0,常规程序清洗后分别为9.70、8.91、1.63,两种方法清洗后RLU比较,差异有统计学意义(t=-5.97,P=0.000)。结论与其他常用消毒剂相比,酸性氧化电位水在洗手、物体表面消毒和器械清洗效果方面均能达到预期目的。鉴于其现场制取,使用方便,在方舱医院医院感染控制中显现出较强的有效性、兼容性及优越性。Objective To analyze the application efficacy of acidic electrolyzed oxidizing water(AEOW)in healthcare-associated infection(HAI)control in mobile field hospital.Methods Hand hygiene,environmental object surface disinfection,medical instrument cleaning were performed with AEOW as well as different commonly used cleaning and disinfectant agents in mobile field hospital,ATP biological fluorescence detector was used to detect and evaluate the efficacy of cleaning and disinfection.Results The qualified rates of hand washing with running water as well as soap and AEOW were 100.00%and 98.75%respectively,there was no significant difference between two groups(P=1.000).Environmental object surface were disinfected with AEOW,chlorine-containing disinfectant,and compound double-chain quaternary ammonium salt wipe,the qualified rates were 87.10%,90.32%,and 90.32%respectively,there was no significant difference in the qualified rates among three methods(P=1.000).The qualified rates of instruments cleaned by AEOW and conventional cleaning were both 100%.The mean value,standard deviation,and standard error of mean value of relative light unit(RLU)of instrument specimens after cleaned by AEOW were all 0,after cleaned by conventional method were 9.70,8.91,and 1.63 respectively,difference in RLU after cleaned by two methods was statistically significant(t=-5.97,P=0.000).Conclusion Compared with other commonly used disinfectants,AEOW can achieve the desired results in hand washing,object surface disinfection,as well as instrument cleaning.In view of its on-site preparation and convenient use,it shows a effectiveness,compatibility,and superiority in HAI control in mobile field hospital.

关 键 词：野战方舱医院 酸性氧化电位水 医院感染控制 环境表面消毒 手卫生 医疗器械 清洗 

分 类 号：R181.32[医药卫生—流行病学]