静脉输液过程中的医院感染控制

Hospital Infection Control During Intravenous Infusion

目的分析静脉输液过程发生感染的原因，制定预防措施。方法对医院2006年1月～2007年12月发生的37例输液反应和9例输液静脉炎，从环境、空气、物体表面、消毒、护理技术操作等方面进行分析。结果主要感染环节是病房、治疗室空气污染，治疗室物体表面不洁、无菌操作不规范、配液过程污染、消毒灭菌制度执行不严格，2006年共采集标本数4091例，合格3619例，合格率88．46％。结论加强空气消毒，严格操作规程，做好消毒灭菌，严格执行洗手消毒制度，定期监测是控制感染的关键。

OBJECTIVE To analyze the reasons of hospital infection during course of intravenous infusion and draw up its preventive measures. METHODS Totally 37 cases with infusion reactions and 9 cases with infusion phlebitis were found from Jan 2006 to Dec 2007 in our hospital. The environment, air, surface, disinfectiong and nursing technical operations were analyzed. RESULTS The main links included wards, air pollution and unclean surface in treatment rooms, non-standard sterile operation, contamination in the preparation of liquid, and non-strict disinfection and sterilization system. From 4091 specimens collected in 2006, 3619 were qualified, with a pass rate of 88.46%. CONCLUSIONS The key measures in control of hospital infection are enforcement of air disinfection, strict operation procedures, disinfection and sterilization and the system of hand washing, regular monitoring and so on.