重复使用医用织物规范化管理干预措施及其成效  

Interventions to standardized management of reusable medical fabrics and their effectiveness

作　　者：蒋景华[1] 陶映[1] 于美芳[1] 陆晓红 张晓莉[1] 盛依培 JIANG Jing-hua;TAO Ying;YU Mei-fang;LU Xiao-hong;ZHANG Xiao-li;SHENG Yi-pei(Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市人民医院(浙江大学绍兴医院)医院感染管理处

出　　处：《中华医院感染学杂志》2019年第16期2550-2554,共5页Chinese Journal of Nosocomiology

基　　金：浙江省康恩贝医院管理软科学研究基金资助项目(2017ZHA-KEB320)

摘　　要：目的探讨医院重复使用医用织物加强规范化管理过程中的干预措施及成效体现。方法于2016年12月前及2017年6月后,对社会化洗涤服务机构医用织物洗涤消毒工作和医院医用织物管理工作在开展规范化管理前后情况进行调查,对其干预前后的清洁织物卫生质量感官指标、微生物指标及干预成效进行对比。结果开展规范化管理前社会化洗涤服务机构医用织物洗涤消毒工作检查得分为58分(总分100分),开展规范化管理后检查得分为89分(总分100分)。开展规范化管理前医院医用织物管理工作检查得分为18分(总分100分),开展规范化管理后检查得分为96分(总分100分)。规范化管理前清洁织物卫生质量感官指标检查发现不整洁有8件,破损有19件(总数200件),合格数为173件,合格率86.50%;规范化管理后未发现有问题的织物,合格数为200件,合格率100.00%,合格率比规范化管理前提高(P<0.05)。规范化管理前清洁织物卫生质量微生物指标检出毛霉菌5株、铜绿假单胞菌4株、金黄色葡萄球菌3株,共12株,检出率为24.00%(12/50);规范化管理后检出0株,检出率为0(0/50)。结论通过对重复使用医用织物开展规范化管理,可以提高洗涤消毒质量,降低甚至杜绝因医用织物引起的医院感染风险。OBJECTIVE To discuss the concrete intervention measures and effect of reinforcing standardized management of reusable medical fabrics in our hospital. METHODS Before Dec. 2016 and after Jun. 2017, a survey was conducted on the washing and disinfection of medical fabrics in socialized washing service organization and the management of medical fabrics in our hospital before and after the implementation of standardized management. The sensory indicators, microbial indicators and intervention effects of the cleaning fabrics before and after the intervention were compared. RESULTS The scoring of medical fabric washing and disinfection work in socialized washing service organization was 58 points(total score 100 points) before carrying out standardized management, and 89 points(total score 100 points) after carrying out standardized management. The examination score of medical fabrics management in our hospital was 18 points(total score 100 points) before carrying out standardized management, and 96 points(total score 100 points) after carrying out standardized management. Before standardized management, The sensory indexes of hygienic quality of clean fabrics were found to be 8 untidy, 19 damaged(total 200), and 173 qualified. The qualified rate was 86.50%. After standardized management, all 200 qualified fabrics were found to have no problems, and the qualified rate was 100.00%. The qualified rate was significantly improved after standardized management(P<0.05). Before standardized management, 5 strains of Mucor, 4 strains of Pseudomonas aeruginosa and 3 strains of Staphylococcus aureus were detected by microbial indicators of hygienic quality of clean fabrics, with a detection rate of 24.00%(12/50);after standardized management, 0 strain was detected, with a detection rate of 0(0/50). CONCLUSION Standardized management of reusable medical fabrics can improve the quality of washing and disinfection, reduce or even eliminate the risk of nosocomial infection caused by medical fabrics.

关 键 词：重复 医用织物 洗涤 规范 

分 类 号：R187[医药卫生—流行病学]