急救车内急救物品集中与分散处理效果比较

Effects of centralized and decentralized disposal of first-aid outfits in ambulance:a comparative study

目的为急救车内急救物品寻找一种经济、有效、可操作的清洗、消毒、包装、灭菌方法,以提高消毒、灭菌质量。方法将使用后急救物品(开口器、舌钳、压舌板)分为两组,试验组:2011年5-7月全院使用后急救物品由消毒供应中心集中处理,共处理115件;对照组:2011年2-4月全院急救物品由各病房分散处理,共处理112件;比较两种处理模式的清洗质量,目测、隐血试验、菌落数合格率、消毒液的消耗量、耗费的时间。结果试验组、对照组清洗质量目测合格率分别为98.3%、75.9%,隐血试验合格率分别为98.0%、86.0%,菌落数合格率分别100.0%、60.0%,差异均有统计学意义(P<0.05);试验组节约施康480片,节约时间13.4h。结论急救物品由供应中心集中处理,既能保证清洗质量,还能减少消毒液的用量,节省了时间、成本,减少了环境污染和对人体的伤害。

OBJECTIVE To seek for an economical, practical and effective method to clean, disinfect, package, and sterilize the first-aid outfits such as mouth gag. tongue pull forceps, and spatula so as to improve the quality of disinfection and sterilization. METHODS The used first-aid outfits were divided into two groups, in the experimental group, a total of 115 pieces of first-aid outfits were performed for centralized disposal in central sterile supply department from May and Jul, 2011; in the control group, a total of 112 pieces of first^-aid outfits were performed for decentralized disposal in various wards from Feb and Apr, 2011;the cleaning quality of the two processing models was compared by using the standards of visual observation, occult blood test, the qualified rate of colonies, the consumption of disinfectant, and time-consuming. RESULTS The qualified rates of the experimental group and the control group by visual observation were 98. 3% and 75.9%, the qualified rates of occult blood test were 98.0% and 86.0% ,respectively the qualified rates of bacterial colonies counts were 100.0% and 60.0%, respectively the differences were statistically significant （P〈0.05）; the experimental group saved 480 pieces of Kang Shi drug and 13.42 hours. CONCLUSION Centralized processing of the first-aid outfits in the supply center can not only guarantee the cleaning quality but it can reduce the consumption of the disinfectants and save time and cost ,reducing environmental Pollution that harms to human being.