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目的比较不同人员医院环境清洁的效果,为建立标准化清洁程序提供依据。方法 ICU中随机选择两个床单元,抽签分配给医院感染专业人员和清洁人员,两类人员使用消毒湿巾对床单位进行消毒。每个床单元清洁前后采集高频接触物体表面样本,盲法棉试子采样,检测细菌总数和MRSA。结果感染专业人员清洁前后物表细菌总数中位数分别为4.0 cfu/cm2和0.5 cfu/cm2;清洁人员清洁前后物表细菌总数中位数分别为5.4 cfu/cm2和9.0cfu/cm2。感染专业人员有效清洁率100%;清洁人员有效清洁仅为55%,清洁失败9处。结论感染专业人员环境清洁效果明显优于清洁工人。应建立医院环境清洁标准化程序,实施清洁人员上岗教育干预。
Objective To compare the effect of different personnel hospital environment cleaning, to provide a basis for establishing a standardized cleaning program. Methods Two bed units were randomly selected in the ICU, drawn to hospital infection professionals and cleaning staff by lottery, and disinfected wipes were used for disinfection of bed units by both categories. Before and after cleaning each bed unit to collect high-frequency contact with the surface samples, blind cotton samples were taken to detect the total number of bacteria and MRSA. Results The median total bacterial count of bacteria before and after cleaning was 4.0 cfu / cm2 and 0.5 cfu / cm2, respectively. The median total bacterial count before and after cleaning was 5.4 cfu / cm2 and 9.0 cfu / cm2, respectively. Infection professionals 100% effective cleaning rate; Cleaner effective cleaning only 55%, 9 failed to clean. Conclusion The environmental cleaning effect of infection professionals is obviously better than that of cleaning workers. Hospital should clean the standardization of environmental procedures, the implementation of clerks post education intervention.