依据风险等级实施重症监护病房环境物体表面消毒的效果研究  

Application effect of ICU environmental surface disinfection according to risk levels

作　　者：王晓琼[1] 赵燕君[1] 葛杨玲 包玫瑰 崔可[1] WANG Xiao-qiong;ZHAO Yan-jun;Ge Yang-ling;BAO Mei-gui;CUI Ke(Zhejiang Taizhou Hospital,Taizhou Zhejiang 317000)

机构地区：[1]浙江省台州医院,浙江台州317000

出　　处：《中国消毒学杂志》2022年第6期446-448,451,共4页Chinese Journal of Disinfection

基　　金：浙江省基础公益研究计划项目(LGC20H090001)。

摘　　要：目的研究按风险等级实施重症监护病房(ICU)环境物体表面消毒的应用效果。方法通过医院感染监测和荧光笔测试法,对某医院(ICU)风险等级实施环境物体表面消毒的效果进行评价。结果依据风险等级实施物体表面消毒(观察组),ICU住院患者医院感染发生率,MDRO感染例次发生率均低于对照组。抗菌药物使用强度、平均住院日、环境表面清洁合格率总体改善明显。耐碳青霉烯鲍曼不动杆菌检出率较对照组降低、重大风险区域环境表面清洁合格率高于对照组。结论依据风险等级划分区域实施ICU环境物体表面消毒管理,可以明显提高物体表面卫生质量,有利于降低医院感染发生率。Objective To study the effect of applying environmental surface disinfection according to the risk levels in the intensive care unit(ICU).Methods The effects of environmental surface disinfection were evaluated according to risk levels by nosocomial infection monitoring and fluorescence detection.Results After disinfecting the object surface according to the risk levels(observation group),the incidence of nosocomial infection and MDRO infection were lower than that of the control group.The intensity of antibiotic usage,the average days of hospital stays,and the qualification rate of environmental surface cleaning had improved significantly in our observation group.The detection rate of carbapenem-resistant Acinetobacter baumannii was lower and the qualification rate of environmental surface cleaning in major risk areas was higher compared to the control group.Conclusion The application of environmental surface disinfection according to the risk levels can significantly improve the object surface hygiene quality and reduce the incidence of nosocomial infection.

关 键 词：重症监护病房 环境物体表面消毒 风险等级 质量控制 

分 类 号：R187[医药卫生—流行病学]