消毒隔离与灭菌工作常见问题及防范措施

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目的:探究分析消毒隔离与灭菌工作常见问题及防范措施。方法:选取我院供应室自2013年8月-2014年8月期间的消毒隔离与灭菌工作临床记录和254例医护人员考核情况作为试验组资料,选取同期我市某一基层医院急诊科消毒隔离与灭菌工作临床记录和179例医护人员考核情况作为对照组资料。记录并比较两组资料中消毒隔离与灭菌单项指标合格情况及医护人员考核情况。结果:试验组医护人员消毒隔离与灭菌工作考核情况明显优于对照组,且日常消毒隔离与灭菌工作中,室内空气合格率、无菌用品合格率、医务人员手合格率及医疗用品消毒合格率(82.68%、91.34%、94.09%、94.88%)均较对照组(56.42%、67.04%、53.63%、58.10%)普遍偏高,P<0.05,差异具有统计学意义。结论:医疗环境中严格的消毒隔离和灭菌是保证临床操作无交叉感染的重要环节,针对临床上出现的消毒隔离与灭菌工作常见问题进行全面深入的分析,并采取积极有效的防范措施,对于降低院内污染的发生率,提高对医护人员和患者的保护至关重要,值得临床重视并推广。 Objective: To explore and analyze the common problems of sterilization and sterilization and preventive measures. Methods: The clinical records of disinfection and isolation and sterilization in our hospital supply room from August 2013 to August 2014 were selected and the examination of 254 medical staff as the data of the experimental group. The emergency department disinfection of a primary hospital in our city was selected Isolation and sterilization of clinical records and 179 cases of medical staff assessment as a control group data. Record and compare the two groups of data disinfection isolation and sterilization individual indicators of qualified and medical personnel assessment. Results: The examination of disinfection, isolation and sterilization of medical staff in the experimental group was significantly better than that of the control group, and the daily disinfection and sterilization work, the pass rate of indoor air, the pass rate of sterile products, the passing rate of medical staff and the disinfection of medical supplies The pass rate (82.68%, 91.34%, 94.09%, 94.88%) was generally higher than that of the control group (56.42%, 67.04%, 53.63%, 58.10%), P <0.05. The difference was statistically significant. Conclusion: The strict disinfection isolation and sterilization in the medical environment is an important link to ensure no cross-infection in clinical practice. In order to make a comprehensive and in-depth analysis of the common problems of disinfection and isolation and sterilization in clinical practice, and take active and effective preventive measures, To reduce the incidence of hospital pollution and improve the protection of health care workers and patients is crucial and deserves clinical attention and promotion.
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