国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2015年
4期
447-449,519
,共4页
黄朝晖%高玉华%邱素红%陈严伟
黃朝暉%高玉華%邱素紅%陳嚴偉
황조휘%고옥화%구소홍%진엄위
呼吸机管路%高温高湿环境%消毒方法%存放时间
呼吸機管路%高溫高濕環境%消毒方法%存放時間
호흡궤관로%고온고습배경%소독방법%존방시간
Ventilator tubing%Hot and humid environment%Disinfection methods%Storage time
目的 探讨高温高湿环境下呼吸机管路正确清洗消毒方法和合理存放时间.方法 手工组自回收后由消毒供应室护理人员手工分散清洗、消毒、存放;自动组自回收后由消毒供应室护理人员利用全自动喷淋清洗消毒机进行集中清洗、消毒、存放.记录两组呼吸机管路及其过滤装置经不同方法清洗消毒后立即及存放3周、4周、5周后细菌检测结果,进行统计学分析并得出结论.结果 两组氧气呼吸机管路及其过滤装置经不同方法清洗消毒后,其细菌学检测结果均处于正常范围内(≤20 CFU/cm2),提示两种方法均可获得满意清洗消毒效果,差异无统计学意义(P＞0.05);两组呼吸机管路及其过滤装置经不同方法清洗消毒后,其细菌学检测不合格率随存放时间延长而逐渐上升,且手工组存放4周后细菌学检测结果不合格率均＞ 50.00％,提示其最长存放时间仅为3周;自动组存放5周后部分细菌学检测结果不合格率＞ 50.00％,提示其最长存放时间长达4周,差异有统计学意义(P＜0.05).结论 呼吸机管路及其过滤装置经全自动喷淋清洗消毒机清洗消毒效果显著,且最长存放时间为4周,为呼吸机管路清洗消毒的方法和存放时间提供可靠依据,确保患者临床治疗安全性,减少医院感染的发生.
目的 探討高溫高濕環境下呼吸機管路正確清洗消毒方法和閤理存放時間.方法 手工組自迴收後由消毒供應室護理人員手工分散清洗、消毒、存放;自動組自迴收後由消毒供應室護理人員利用全自動噴淋清洗消毒機進行集中清洗、消毒、存放.記錄兩組呼吸機管路及其過濾裝置經不同方法清洗消毒後立即及存放3週、4週、5週後細菌檢測結果,進行統計學分析併得齣結論.結果 兩組氧氣呼吸機管路及其過濾裝置經不同方法清洗消毒後,其細菌學檢測結果均處于正常範圍內(≤20 CFU/cm2),提示兩種方法均可穫得滿意清洗消毒效果,差異無統計學意義(P＞0.05);兩組呼吸機管路及其過濾裝置經不同方法清洗消毒後,其細菌學檢測不閤格率隨存放時間延長而逐漸上升,且手工組存放4週後細菌學檢測結果不閤格率均＞ 50.00％,提示其最長存放時間僅為3週;自動組存放5週後部分細菌學檢測結果不閤格率＞ 50.00％,提示其最長存放時間長達4週,差異有統計學意義(P＜0.05).結論 呼吸機管路及其過濾裝置經全自動噴淋清洗消毒機清洗消毒效果顯著,且最長存放時間為4週,為呼吸機管路清洗消毒的方法和存放時間提供可靠依據,確保患者臨床治療安全性,減少醫院感染的髮生.
목적 탐토고온고습배경하호흡궤관로정학청세소독방법화합리존방시간.방법 수공조자회수후유소독공응실호리인원수공분산청세、소독、존방;자동조자회수후유소독공응실호리인원이용전자동분림청세소독궤진행집중청세、소독、존방.기록량조호흡궤관로급기과려장치경불동방법청세소독후립즉급존방3주、4주、5주후세균검측결과,진행통계학분석병득출결론.결과 량조양기호흡궤관로급기과려장치경불동방법청세소독후,기세균학검측결과균처우정상범위내(≤20 CFU/cm2),제시량충방법균가획득만의청세소독효과,차이무통계학의의(P＞0.05);량조호흡궤관로급기과려장치경불동방법청세소독후,기세균학검측불합격솔수존방시간연장이축점상승,차수공조존방4주후세균학검측결과불합격솔균＞ 50.00％,제시기최장존방시간부위3주;자동조존방5주후부분세균학검측결과불합격솔＞ 50.00％,제시기최장존방시간장체4주,차이유통계학의의(P＜0.05).결론 호흡궤관로급기과려장치경전자동분림청세소독궤청세소독효과현저,차최장존방시간위4주,위호흡궤관로청세소독적방법화존방시간제공가고의거,학보환자림상치료안전성,감소의원감염적발생.
Objective To investigate the ventilator tubing under hot and humid environment properly cleaning and disinfection methods and reasonable storage time.Methods Since recovered from sterile supply room nurses,methods were dispersed by hand washing,disinfection,storage in manual group,while were used by automatic spray cleaning and disinfecting machines for centralized cleaning,disinfection,storage in auto group.Results of bacterial test for ventilator tubing and filtering device were recorded and analyzed at after cleaning and disinfection immediately and 3,4,5 weeks after store.Results Results of bacteriological test were in normal range after cleaning and disinfection immediately of both two groups,which indicated that the two disinfection methods could obtain satisfactory results,there was no significant difference (P ＞ 0.05).Bacteriological detection failure rate was increased with prolonged storage time after cleaning and disinfection in two groups.Bacteriological detection failure rate was higher than 50.00％ at 4 weeks after cleaning and disinfection in manual group,which indicated the maximum storage time was 3 weeks.Bacteriological detection failure rate was higher than 50.00％ at 5 weeks after cleaning and disinfection in auto group,which indicated the maximum storage time was 4 weeks.There was significant difference in the maximum storage time between two groups (P ＜ 0.05).Conclusions The ventilator tubing and filter devices through automatic spray cleaning disinfection cleaning and disinfecting effect is remarkable,and the maximum storage time is 4 weeks,which provides a reliable basis for ventilator tubing cleaning and disinfection methods and storage time,and ensures patients' clinical treatment safety,reduces the incidence of nosocomial infection.
