血液透析机表面污染境况调查.docVIP

血液透析机表面污染境况调查 中国血液净化2011年1月第1O卷第1期ChinJBloodPunf,January,2011,Vo1.10,No.1 血液透析机表面污染境况调查 王颖檀敏武向兰雷娟燕宇 ? 47? ? 护理园地? 【摘要】目的调查现行感染控制管理制度下,血液透析机治疗前后表面污染情况及进行消毒擦 拭前后的差别.方法在严格按照《北京市血液透析质量控制管理规范》实施感染控制管理的前提下, 进行日常2个班次的透析治疗.依据《医院消毒卫生标准》GB15982—1995要求,对上,下午透析前后33 台血液透析机的台面及面板取样进行细菌培养,并依据《医院消毒卫生标准》GB15982—1995标准评价其 检测结果.结果所有样本总合格率96.2%,其中上,下午透析前合格率均为100%,上,下午透析 后未擦拭前合格率分别为93.9%和9O.9%.各班次透析前,后菌落计数对比差异有统计学意义(尸lt;0.05); 2班次之间进行消毒擦拭前后菌落计数对比差异无统计学意义(一1.61,尸gt;0.05),但是擦拭后的合格 率达100%.结论《北京市血液透析质量控制管理规范》规定的透析治疗各班次之间擦拭消毒血液透 析机是必要而且有效的. 【关键词】物体表面;血液透析机;擦拭消毒 中图分类号:R318.16文献标识码:Adoi:10.3969/j.issn.1671—4091.2011.O1O14 InvestigationonthesurfacecontaminationonhemodialysismachinesⅣGYing,Ⅳ,WUXiang-lan, LEIJuan.ⅣYu.HemodialysisCenterPekingUniversityPeopleHospital,Beijing100034,China Correspondingauthor.TANMin,Email:tanmin1964@yahoo.tom.cn [Abstract]0bjectsToinvestigatethedifferencesofthecontaminationonhemodialyzersurfacebefore andafterahemodialysissession,andbeforeandafterthewipeanddisinfectionfollowingthecurrentadministra— tionrulesforinfectioncontro1.MethodsThewipeanddisinfectionproceduresdefinedintheCurrentStipulation forHemodialysisQualityControlwerestrictlycarriedoutinthehemodialysiscenter,inwhichtwosessionsper hemodialyzerwereconductedinaworkday.Bacterialcultureswereperformedforsamplestakenfromthe33 hemodialyzerbeforehemodialysissessionsinthemorningandafterthesessionsintheafternoon.Thebacterial cultureresultswereevaluatedfollowingthepublishedstandards.ResultsTheoverallnegativeratewas96.2%. Samplestakenbeforedialysissessionsinthemorningandintheaftemoonwereallnegative.whilethosetakenafter dialysissessionsbeforewipeanddisinfectionwerenegativein93.9%samplesinthemorningandin90.9%samples intheaftemoon.Thenumberofbacterialcoloniesinsamplestakenbeforedialysissessionswassignificantly differentfromthattakenaftersessionslt;0.os).Althoughthenumberofbacterialcolonieshadnostatistical differencebetweensamplestakenbeforeandafterthewipeanddisinfectionprocedure,thenegativeratereachedto 100%aftertheprocedur