河南省82家静脉用药调配中心感染防控管理现状  

Assessment of infection prevention and control management in 82 pharmacy intravenous admixture service centers in Henan Province

作　　者：高姗[1,2] 沈燕 周晓燕[3] 李坤 聂会娟[3] 赵辉 GAO Shan;SHEN Yan;ZHOU Xiaoyan;LI Kun;NIE Huijuan;ZHAO Hui(Department of Nosocomial Infection Management,the First Afiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450052,China;Nosocomial Infection Management Quality Control Center of Henan Province;Department of Pharmacy,the First Afiliated Hospital of Zhengzhou University)

机构地区：[1]郑州大学第一附属医院感染管理科,河南郑州450052 [2]河南省医院感染管理专业质量控制中心 [3]郑州大学第一附属医院药学部

出　　处：《现代疾病预防控制》2024年第7期498-503,共6页MODERN DISEASE CONTROL AND PREVENTION

基　　金：“感·动中国”医疗机构感染预防与控制科研项目(GY2023041)。

摘　　要：目的了解河南省的静脉用药调配中心(静配中心)感染防控管理现状,为其规范管理提供数据支撑。方法2023年7月1—15日,采用横断面研究方法,对河南省正在运行的静配中心进行问卷调查,回顾性调查感染防控管理情况,内容包括感染防控管理相关设施设备、组织和培训管理、质量监测、清洁消毒管理、职业防护以及医疗废弃物管理等6个方面。结果82家纳入调查的静配中心中,定期开展感染防控质量管理自查的占95.12%,开展月度培训活动的占84.15%。一次更衣室处洗手池配置率为54.88%,调配操作间手消毒剂配置率为73.17%。沉降菌至少每季度监测的占97.56%,尘埃粒子至少每年监测的占81.71%。监测佩戴手套时手部消毒效果的仅4家(4.88%),监测手消毒质量的占68.29%。洁净区地面清洁消毒至少每日1次的占98.78%,13家(15.85%)静配中心未做到清洁空气净化系统回风口过滤网至少每周1次,15家(18.29%)静配中心未定期处置水平层流洁净台预过滤器无纺布滤材。职业暴露处置箱和药液溢出处理包的配备率分别为97.56%和96.34%,安全型注射器具和智能化加药设备的配备率仅为6.10%和3.66%,58.54%的静配中心人员在加药操作时未佩戴护目镜或防护面屏,锐器伤是近3年发生最多的职业安全风险事件,占47.56%。61家(74.39%)静配中心将盛放危害药品的密封药瓶按药物性废物处置,放普通药品的密封药瓶作为可回收物处置的静配中心有15家(18.29%)。结论河南省静脉用药调配中心在感染防控组织管理、培训管理方面比较规范,但在感染防控相关手卫生设施、质量监测、环境清洁消毒、职业防护、医疗废弃物管理方面则有待加强,建议各静配中心严格落实各项感染防控措施,尽早出台符合静配专业实际的感染防控质控评价标准,以利于科学、有效、规范地开展感染防控工作。Objective To investigate the management status of infection prevention and control in pharmacy intravenous admixture service(PIVAS)centers across Henan Province,providing data to support the standardization of management practice.Methods A cross-sectional study was conducted from July 1st to 15th,2023,surveying operational PIVAS centers in Henan Province.The survey retrospectively investigated six aspects of infection management:facilities and equipment,organization and training,quality monitoring,cleaning and disinfection,occupational protection,and medical waste management.Results Of the82 PIVAS centers surveyed,95.12%regularly conduted self-examination of infection control quality management,and 84.15%held monthly training activities.Hands sinks were presen in 54.88%had of locker rooms,and hand disinfectant was available in 73.17%of operating rooms.Bacterial settlement was monitored quarterly by 97.56%of the centers,and annual dust particle monitoring was conducted by 81.71%.Only 4(4.88%)monitored the hand disinfection effect when wearing gloves,and 68.29%monitored hand disinfection quality.Daily cleaning and disinfection of clean area floor was performed by 98.78%of the centers,but 13(15.85%)centers failed to clean the air purification system weekly.Non-woven filter material for horizontal laminar flow tables was not regularly replaced by 15(18.29%)centers.Occupational exposure disposal boxes were available in 97.56%of centers,and liquid overflow treatment kits in 96.34%.Safety injection and intelligent dosing equipment were present in 6.10%and 3.66%of centers,respectively.Goggles or face shields were not worn by 58.54%during dosing operations.Sharp injuries occurred in 47.56%of centers,the most frequent occupational safety risk during the past three years.Pharmaceutical waste classification was correctly managed by 61(74.39%),while only 15(18.29%)treated sealed bottles with general drugs as recyclables.Conclusions While the organizational and training aspects of infection prevention and control are relativel

关 键 词：静脉用药调配中心 感染防控 管理 河南 

分 类 号：R197[医药卫生—卫生事业管理]