医院中央空调通风系统消毒管理现状调查与循证干预

Current status of management of disinfection of central air conditioning and ventilation system and evidence-based intervention

目的探讨循证干预在中央空调通风系统消毒管理中的应用。方法在对医院中央空调运行管理现状调查的基础上,充分利用先进的科学技术及经验,对中央空调通风系统管理实施循证干预。结果医院中央空调系统管理存在诸多薄弱环节,新风机房符合规范要求的占42.9%;出风口存在真菌菌斑的占61.3%;对于中央空调管理存在认识盲区的员工占69.1%;由此针对中央空调系统的设施管理、人员培训和卫生管理,实施循证干预并加以改进。结论建立在有充分科学证据的基础之上循证干预措施,是提高中央空调通风系统消毒管理质量,保障医疗安全的有效手段之一。

OBJECTIVE To explore the application of evidence-based interventions in disinfection management of central air-conditioning ventilation system.METHODS Taking the advantage of advanced technology and experience,we developed appropriate evidence-based interventions on central air-conditioning ventilation system according to the investigation on the situation of the management of hospital central air conditioning and ventilation system.RESULTS There were many defects that existed in hospital management of central air conditioning and ventilation system,42.9% of the fan rooms were qualified,the mold spots were detected in 61.3% of the central air conditioning vents,and 69.1% of the surveyed staff were in lack of the knowledge of central air conditioning and disinfection management.Thus interventions were developed to improve facilitiy management of central air conditioning system,staff training and sanitary management.CONCLUSION Evidence-based interventions based on the sufficient investigations are effective means to improve the quality of disinfection management of central air-conditioning ventilation system.