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目的寻找快速、简单、有效的物表擦拭方法。方法将使用中的床头柜随机编号,分别采用A、B、C,3种不同擦拭消毒方法:方法 A:用500mg/L的“84”消毒液擦拭一遍;方法 B:先用清水擦拭一遍,再用500mg/L的“84”消毒液擦拭一遍;方法 C:先用清水擦拭一遍,用500mg/L的“84”消毒液擦拭一遍,再用清水擦拭一遍。于床头柜擦拭前、后采样,并进行细菌计数及常见病原菌检测。结果 3种擦拭消毒方法均能达到消毒技术管理规范要求,且消毒效果比较无统计学意义(P<0.05);所有床头柜消毒前细菌计数均超标。床头柜消毒前检出金黄色葡萄球菌,表皮葡萄球菌,肠杆菌,非发酵菌,真菌等,检出率最高的金黄色葡萄球达53%以上,其中耐甲氧西林金黄色葡萄球菌(MRSA)占51%。消毒后床头柜除2份检出金黄色葡萄球菌外,其它均未检出致病菌。结论所采用的3种擦拭消毒方法均能达到良好的消毒效果。在日常工作中,直接用500mg/L的“84”消毒液擦拭消毒效果可靠,是一种省时、省力、理想的擦拭方法,值得临床推广使用。
Aim To find a quick, simple and effective way to wipe the surface of the object. Methods The bedside cabinets in use were randomly numbered, using three different cleaning methods: A, B and C, respectively. Method A: wipe it with 500mg / L “84” disinfection solution; , And then 500mg / L “84 ” disinfectant wipe again; Method C: wipe it again with water, with 500mg / L “84 ” disinfectant to wipe it again, and then wipe it again with water. Before bedside cabinet wipe, after sampling, and bacteria count and common pathogen detection. Results The results showed that all the three wipes and disinfections methods met the requirements of the management of disinfection technology, and the disinfection effect was not statistically significant (P <0.05). Stool detection of Staphylococcus aureus, Staphylococcus epidermidis, Enterobacteriaceae, non-fermenting bacteria, fungi, the highest detection rate of Staphylococcus aureus over 53%, of which methicillin-resistant Staphylococcus aureus (MRSA) 51%. After sterilizing bedside cabinet in addition to two out of Staphylococcus aureus, the other were not detected pathogenic bacteria. Conclusion The three kinds of wipe disinfection methods can achieve good disinfection. In daily work, direct use of 500mg / L “84 ” disinfectant wipe disinfection reliable, is a time-saving, labor-saving, ideal wipe method, it is worth to promote clinical use.