口腔修复科医院感染因素研究及管理.doc

口腔修复科医院感染因素研究及管理[摘要]目的：探讨口腔修复科门诊院内感染的因素，制订有效控制措施，降低口腔科医院感染的发生。方法：以医疗器械、物体表面、医护人员手、诊疗室空气为监测目标。将2006～2007年进行监测的资料作为对照组，将加强管理后2008～2009年的监测资料作为观察组，比较两组的合格率。结果：采取有效管理前，医疗器械合格率92%，物体表面合格率84%，医务人员手合格率72%，诊疗室空气合格率80%；采取管理措施后，医疗器械合格率100%，物体表面合格率97.9%，医务人员手合格率96%，诊疗室空气合格率96.8%。结论：医疗器械、物体表面、医务人员手、诊疗室空气等易于污染，均可引起医院感染。只有加强医院感染管理工作，严格执行消毒技术规范，采用“标准预防”原则，才能有效控制医院感染的发生。 [关键词]口腔修复科；医院感染；管理 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2011）04-0658-03 Hospital infection factors analysis and management in department of prosthodontics HAN Hui-fang,BAI Le-kang,LIU Dong-Xian (Department of Prosthodontics,Xi’an Jiaotong University Stomatology Hospital,Xi’an 710004,Shaanxi,China) Abstract: ObjectiveTo investigate the factors that induce nosocomial infection in department of prosthodontics,and formulate effective control measures to reduce the incidence of hospital infection in dentistry.Methods As medical,object surfaces,hands of medical staff and clinic air for the monitoring targets,surveillance dated from 2006 to 2007 was as the control group and that after strengthened management from 2008 to 2009 as the observation group.To compare the qualified rate between two groups.Results Qualified rate of medical equipment for the department of prosthodotics was 92% before effective management,that of object surfaces was 84 and of hands of medical staff was 72% and of clinic air was 80%.After management they were 100%,97.9%,and 96% and 96.8%,respectively.Conclusion Medical equipment,object surface,hands of medical staff and clinic air are easy to be contaminated.They can lead to hospital infection.So strengthening management work of hospital infection can control effectively hospital infection in department of prosthodontics. Key words:department of prosthodontics;hospital infection;management 口腔修复科使用的医疗器械和材料众多，接触血液和唾液频繁，诊疗环境、医疗器械、物体表面、医务人员手等易污染，且比较严重，从而可直接或间接地引起医院感染。口腔修复科诊疗过程中的污染问题已成为医院感染管理的薄弱环节，越来越受到医务人员及社会各界人士的关注。口腔医院感染与口腔医疗质量、医疗安全，广大人民群众及医务人员的身体健康息息相关。WHO将医院感染的预防和控制作为医院质量管理体系