对妇产科环境卫生学常规监测实施意义的探讨

EVALUATION OF THE MONITORING EFFECTS ON ENVIRONMENTAL HYGIENE OF DEPARTMENT OF GYNAECOLOGY AND OBSTETRICS

[目的]1992年5月￣2006年4月我院对妇产科环境卫生学常规监测实施意义进行探讨。[方法]采用细菌培养的方法观察产房、母婴室、新生儿病房环境(空气、物体表面、医护人员手)细菌总数、种类、及动态变化。[结果]14年间医院专职人员对空气、各种物体表面和医护人员手监测合格率分别为78.16%、86.82%、95.70%共监测出致病菌6次,分别从洗手肥皂检出铜绿假单胞菌5次(其中,母婴病房护士办公室1次)、新生儿浴室扑粉瓶检出金黄色葡萄球菌1次。兼职人员对本科室空气、物体表面和医护人员手14年的常规监测,合格率分别为100%、99.93%、99.70%。[结论]环境卫生学监测合格率的高低,关键取决于医院环境的洁净度,确切地说,只要保证医院环境清洁、干燥,就一定会提高卫生学监测合格率,而不是依靠对环境卫生学进行常规性监测。

[Objective] To evaluate monitoring effects on enviromnental hygiene of department of gynaeeology and obstetrics in our hospital from Oct.1992 to Apr,2006. [Methods] We observed bacterial amount, kinds and dynamic change in delivery rooms, mother-infant rooms and neonatus rooms. [ Results] The full-time stalls monitored that the eligible rates of air. objects＇ surface and hands of doctors and nurses were 78.16%, 86.82%, 95.70% respectively during 14 years. Pathogenic bacteria were tested six times, P. aeruginosa were tested in used soap live times （P. aeruginosa were tested in mother-infant room and nurses＇ office one time）. S.aureas was tested in the powder bottle in neonatus bathroom one time. The part-time staffs monitored that the eligible rates of air. objects＇ surface in office and hands of doctor and nurse were 100%, 99.93% , 99.70% respectively. [Conclusion] High or low eligible rates of environmental hygiene are determined due to the dr＇give, of environmental lustration in hospitals. We can infer that the eligible ratio of monitoring environmental hygiene could be raised if we keep the nosoeomial environment clean and dry., instead of depending on routine hygienic monitoring.