《医疗机构环境表面清洁与消毒管理规范》对临床护理的重要性

The guideline for nursing practice:Regulation for cleaning and disinfection management of environmental surface in healthcare facilities

医疗机构环境表面的清洁质量是医院相关性感染(HAIs)预防与控制的基础。污染的环境表面是易感患者获得病原微生物感染的重要来源,改善环境表面清洁质量,可以有效终止HAIs的暴发,降低感染的发生率,强化的终末消毒能减少多重耐药菌和艰难梭菌垂直传播10%~30%的发生率。而一个不当的环境清洁不仅不能清除表面的污染物与病原微生物,甚至会造成环境表面的二次污染。国家卫生计生委于2016年年底发布《医疗机构环境表面清洁与消毒管理规范》,本文就该规范对临床护理的重要性,从管理要求、清洁与消毒原则、日常清洁与消毒、强化清洁与消毒、清洁工具复用处理等方面进行重点解读,便于临床护理人员的参照执行。各级各类医疗机构应高度重视环境清洁,提高对本规范的执行力与依从性,为广大的患者提供清洁而安全的诊疗环境。

The management of environmental surface cleaning is the basis for prevention and control of healthcare associated infection （HAIs） among the healthcare facilities. The contaminated surface is a primary source for susceptible patients to acquire pathogens. Improving the quality of environmental surface cleaning can effectively decrease the outbreak of HAIs. Enhanced terminal cleaning and disinfection can reduce 10% to 30% of HAIs caused by multidrug-resistant organism or Clostridium difficile. Inappropriate cleaning and disinfection cannot remove the surface contamination from hospital environment and even may cause pathogens spreading within hospitals. National Health and Family Planning Commission of the PRC issued ＂Regulation for cleaning and disinfection management of environmental surface in healthcare facilities＂ in the end of 2016. This paper explains the importance of environmental cleaning for clinical nursing, including the requirement of management, principles of cleaning and disinfection, daily cleaning and disinfection, enhanced cleaning and disinfection, reusing of cleaning products. The implementation and compliance with this regulation will provide a clean and safe environment for the patients.