CAJ | 학술논문

目的：调查医务人员对产超广谱β-内酰胺酶（ ESBLs ）细菌感染患者实施消毒隔离措施的现状。方法：采用现场查看和暗访相结合的方式，根据调查问卷对医务人员在治疗护理50例产ESBLs细菌感染患者的消毒隔离措施实施情况进行调查，按照科室不同分为内科组、外科组，按照时间不同分为白天组、夜晚组。结果：医务人员对产ESBLs细菌感染患者的消毒隔离措施实施合格率为49．42％；内科组消毒隔离实施合格率与外科组比较差异有统计学意义（ P＜0．05，P＜0．01）；白天组医务人员对产ESBLs细菌感染患者在医疗物品专用、环境消毒、人员限制，防护用品的使用，手卫生方面的实施合格率与夜晚组比较差异有统计学意义（P＜0．05，P＜0．01）。结论：提高医务人员对产ESBLs细菌感染患者实施消毒隔离合格率不容忽视，应加强外科和夜晚医务人员对产ESBLs细菌消毒隔离执行力度，是有效预防产ESBLs细菌在院内传播的方法。
목적：조사의무인원대산초엄보β-내선알매（ ESBLs ）세균감염환자실시소독격리조시적현상。방법：채용현장사간화암방상결합적방식，근거조사문권대의무인원재치료호리50례산ESBLs세균감염환자적소독격리조시실시정황진행조사，안조과실불동분위내과조、외과조，안조시간불동분위백천조、야만조。결과：의무인원대산ESBLs세균감염환자적소독격리조시실시합격솔위49．42％；내과조소독격리실시합격솔여외과조비교차이유통계학의의（ P＜0．05，P＜0．01）；백천조의무인원대산ESBLs세균감염환자재의료물품전용、배경소독、인원한제，방호용품적사용，수위생방면적실시합격솔여야만조비교차이유통계학의의（P＜0．05，P＜0．01）。결론：제고의무인원대산ESBLs세균감염환자실시소독격리합격솔불용홀시，응가강외과화야만의무인원대산ESBLs세균소독격리집행력도，시유효예방산ESBLs세균재원내전파적방법。
Objective:To investigate the implementation status of disinfection and isolation measures in the patients infected with bacte -ria producing extended spectrum beta lactamases (ESBLs).Methods:The on-the-spot examination combined with secret inquiry were a-dopted to make an investigation on the implementation status of disinfection and isolation measures in 50 patients infected with bacteria producing ESBLs according to the items of questionnaire .The medical staff was divided into internal medicine group and surgical group , daytime group and night group according to the different departments and the different duties .Results:The percent of pass of the implemen-tation of disinfection and isolation measures by medical staff was 49.42%and the difference in the comparison of the qualified rate of dis-infection and isolation was statistically significant between the surgical group and the internal medicine group ( P<0.05,P<0.01);the difference in the comparison of the qualified rate in the implementation of the special usage of medical articles ,environmental disinfection , personnel constrains ,usage of protective articles and hand hygiene for health was statistically significant between the daytime group and the night group (P<0.05,P<0.01).Conclusion:Strengthening the implementation of disinfection and isolation measures in the surgical de -partment and the night group is one of effective methods in the prevention of nosocomial transmission of bacteria producing ESBLs .