艰难梭菌感染性腹泻患者的护理及消毒隔离措施探讨

Exploration of measures of disinfection and isolation in nursing works for patients infected with C. difficile diarrhea

目的:通过实践,探讨艰难梭菌感染性腹泻患者的护理要点及消毒隔离措施。方法:在腹泻护理常规加接触隔离的基础上,用有效氯2000mg/L消毒液进行物表和诊疗物品消毒,禁止使用醇类手消毒剂等一系列措施,通过观察消毒隔离效果,判断消毒隔离措施的有效性并确定相应的制度与流程。结果:自2014年2月以来,共收治10例艰难梭菌感染性腹泻患者,未发生1例医院内交叉感染。结论:采用接触隔离的方式,按照细菌芽孢污染物品的消毒方法进行环境、物品的消毒及手卫生,是切断艰难梭菌院内感染途径的有效措施。

Objective： To explore measures of disinfection and isolation nursing works for patients infected with C. difficile diarrhea. Methods： Conventional nursing and contact isolation were given. Then surfaces and medical articles were disinfected with Available chlorine disinfectant 2000mg/L, prohibiting alcohol hand disinfectant. By observing the effects of disinfection and isolation, the effectiveness of measures of disinfection and isolation were determined, and the appropriate systems and processes were formulated. Results： Since February 2014, 10 cases were treated. No case got involved into the hospital cross-infection. Conclusion： According to the disinfecting method of bacterial spore contamination, the environment, materials and hand disinfection can be confirmed by the contact and isolated manner. It is an effective measure to cut off the route of Clostridium difficile nosocomial infections.