中心供应室医院感染控制调查分析

Survey of control of nosocomial infections in central supply room

目的探讨集中式消毒供应模式及规范化管理在预防与控制医院感染方面的效果。方法 2010年10月以前,中心供应室采取相对陈旧的供应及管理模式,2010年10月开始实行集中式的中心供应模式,中心供应室采取规范化的管理操作,按管理及质量控制标准整体改建消毒供应中心,明确各部分职能,强化管理,规范流程。结果实行集中式的中心供应室管理及规范化管理后,器械清洗灭菌不合格率由2.5%降低至0;无菌物品管理不合格率由5.0%降低至0;而医护人员手、物体表面卫生合格率分别由68.9%、75.7%上升至93.3%、97.3%,差异均具有统计学意义(P<0.05)。结论集中式消毒供应中心及规范化管理,能减少污染、简化流程、实现物品零缺陷、降低医院感染,更利于中心供应室的管理和质量控制。

OBJECTIVE To analyze the effects of centralized sterilization and standardized management on the prevention and control of hospital infections. METHODS In the years before June, 2008, a relatively antiquated supply and management mode was adopted in the supply room. Since the beginning of Jul 2008, a centralize supply mode has been carried out, under which the supply room management was reformed and standardized according to quality management and control standards, therefore, the functions of different sections were specified, reinforced and standardized. RESULTS After the adoption of centralized and standardized management, the rate of unqualified sterilization cleaning of equipments descended from 2.5% to 0% the rate of unqualified management of sterile items from 5.0 % down to 0 %, however the rates of hand hygiene of medical staffs and surface hygiene of medical supplies respectively ascended from 68.9% to 93.3% and from 75.7% to 97.3%, the difference was significant （P〈0. 05）. CONCLUSION Centralized management of supply center and standardized management model can reduce pollution, simplify the process, ensure zero defect of medical supplies and reduce the incidence of nosocomi- al infections, it is also beneficial for the management of the supply room and the quality control.