传染病医院加强布类管理控制医院感染

Improvement of Reusable Textiles Management in Infectious Disease Hospital

目的提高传染病医院布类管理环节及医院感染控制能力。方法分析存在暴露收集污染布类、污染与清洁布类运输工具混用;开放运送、运送线路交叉;洗衣房分拣、更衣、清洗同在一室、缺乏个人防护等构成医院感染的危险因素。结果制定了就近分类收集、闭式运输、洗衣房分拣室独立空间、排风,洁污布类运输工具和存放地点独立、运输线路无交叉等一系列措施,规范了传染病医院布类管理工作。结论医用布类管理中关于细节的感染控制措施,是保证传染病医院医院感染控制的关键。

OBJECTIVE To improve capability of nosocomial infection （NI） prevention and control in reusable textiles management. METHODS In an investigation to previous reused textiles handled procedure, care to keep from creation of potential infectious aerosols should not be taken in contaminated textiles collection, transportation of clean and soiled textile was done in undistinguished uncovered vehicles, sorting room shared a common space with dressing room and washing room, and personal protection was not performed in handling contaminated textiles. RESULTS A series of NI management as follows effectively were adopted in hospital laundry. Appropriate bags were adopted for collecting used textiles or fabrics at the point of generation and subsequently closed securely for transportation of them to the laundry. An independent sorting area with exclusive ventilation system was separated from other parts of the laundry. Hand hygiene facilities and products and appropriate personal protective equipments were available. Transportation and storage of clean from soiled textiles were separated. CONCLUSIONS Appropriate handling and processing textiles in infectious disease hospital plays key role in NI management.