沿海消毒供应中心建筑设计与感染控制的探讨

Design and building of coastal central sterile supply department and study on infection control

目的探讨沿海医院消毒供应中心的建筑设计与感染控制。方法遵循医院感染预防与控制的原则及国家法律、法规对医院建筑和职业防护的相关要求,进行充分论证,并结合国内外消毒供应中心建筑布局的优点,依照《医院消毒供应室验收标准》及《综合医院建筑规范》等国家相关标准,进行专业设计和施工;引进先进的消毒灭菌、空气层流净化设备;物品实行ERP系统信息化管理;分区以双扉式全自动清洗消毒器、灭菌器作隔离屏障;严格的人流、物流、气流管理。结果拥有现代化、标准化、科学化及专业化的建筑设计,使整个操作流程形成相对封闭的不可逆的运行过程,控制了再次污染的机会,有效地控制医院感染,为医院各个临床科室的医疗安全提供了重要保证;各项质量监测指标均符合建筑设计标准与感染控制要求。结论建筑设计符合现代化消毒供应中心标准要求,制定出合理的流程管理制度及质控措施,能有效控制医院感染。

OBJECTIVE To explore the design and building of central sterile supply department and the infection control.METHODS By following the hospital infection prevention and control and the principle of state laws and regulations on hospital buildings and the relevant requirement of occupational protection,the professional design and building were carried out through the complete demonstration and combining domestic and foreign architectural layout of the center of sterilization supply advantages in accordance with the national standards ＇hospital sterilization supply distribution acceptance standard＇ and the ＇general hospital building codes;the advanced disinfection and laminar air purification equipments were introduced;the management of the items was performed by ERP information system;the partition was conducted by double hired type automatic washer disinfector,sterilizer was used as isolated barrier;the strict management of the pouring,logistics,and airflow was implemented.RESULTS A modernized,standardized,scientific and professional architectural design was established,which made the whole operation flow a relatively closed and irreversible operation process,the chance of re-contamination was under control,the nosocomial infections has been controlled effectively,it has ensured the medical safety for the clinical departments;all the quality monitoring indexes complied with the standard of design and construction and met the requirement of infection control.CONCLUSION The design and construction comply with the requirement of modernized central sterile supply department,the reasonable process management system and the quality control measures can contribute to the effective control of nosocomial infections.