摘要
目的了解北京地区奥运定点医院呼吸机清洗消毒现状及《北京市呼吸机清洗、消毒指南(试行)》的落实情况,加强医院感染控制工作,为规范医疗机构呼吸机清洗消毒工作探讨对策。方法根据《北京市呼吸机清洗、消毒指南(试行)》制定统一评估表,对北京地区17所奥运定点医院呼吸机清洗消毒工作进行现场评估。结果17所奥运定点医院中,呼吸机数量≥50台的10所,均建立了清洗消毒制度和登记并能进行消毒效果监测;11所医院科室存在自行处理使用后的呼吸机,无法完全达到指南要求,存在导致医院感染发生的隐患。结论尽快出台和完善相关技术指南,医院统一对呼吸机进行规范管理,加强人员的管理和培训,加大监管力度是降低通过外源性途径导致呼吸机相关性肺炎发生的关键。
OBJECTIVE To investigate the current status of ventilator infection in Olympic designated hospitals, and the implement of ventilator disinfection guideline of Beijing and develop the countermeasures for standard managing of ventilator. METHODS An observatory study was conducted in 17 Olympic designated hospitals by using the evaluation criteria based on the ventilator disinfection guideline. RESULTS All of the 17 hospitals have ventilator disinfection institutions and register Ten hospitals have more than 50 ventilators. There were found different shortcomings and risk factors in 11 hospitals in terms of nosocomial infections. CONCLUSIONS Formulating related guideline or standard, centralizing the disposal of ventilators and strengthening the training of staffs are key issues to decrease the occurrence of VAP causing by exogenous factors.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2008年第7期977-979,共3页
Chinese Journal of Nosocomiology
关键词
呼吸机
消毒
管理
对策
Ventilator
Disinfection
Management
Countermeasures
