CAJ | 학술논문

目的:分析血液净化中心环境卫生学监测结果,并探讨应对管理策略.方法:选择2010年1月至2014年12月期间,医院感染监控人员对血液净化中心进行环境卫生学监测,检查样品总数为 656 份,主要分为空气指标、物体表面、透析用水、医务人员手. 对2010 年1 月至2014 年12 月进行血透双腔临时导管置管术患者出现导管感染情况分析.结果:656份样品经过检测后,共613份合格,总合格率为96.4%.所有监测样品基本都达到合格标准,而且均没有检测出致病菌.对2010年1月至2014年12月进行血透双腔临时导管置管术的患者出现导管感染情况分析,感染率由2010 年的8.6%下降至2014 年的3.4%. 2014 年与2010年比较,差异具有统计学意义(χ2= 7.73,P < 0.01). 结论:通过加强血液净化中心环境卫生学监测,使透析治疗和护理等工作更加规范,能明显降低透析患者的临时血透双腔导管的感染率,提高患者生活质量.
목적:분석혈액정화중심배경위생학감측결과,병탐토응대관리책략.방법:선택2010년1월지2014년12월기간,의원감염감공인원대혈액정화중심진행배경위생학감측,검사양품총수위 656 빈,주요분위공기지표 、물체표면、투석용수、의무인원수. 대2010 년1 월지2014 년12 월진행혈투쌍강림시도관치관술환자출현도관감염정황분석.결과:656빈양품경과검측후,공613빈합격,총합격솔위96.4%.소유감측양품기본도체도합격표준,이차균몰유검측출치병균.대2010년1월지2014년12월진행혈투쌍강림시도관치관술적환자출현도관감염정황분석,감염솔유2010 년적8.6%하강지2014 년적3.4%. 2014 년여2010년비교,차이구유통계학의의(χ2= 7.73,P < 0.01). 결론:통과가강혈액정화중심배경위생학감측,사투석치료화호리등공작경가규범,능명현강저투석환자적림시혈투쌍강도관적감염솔,제고환자생활질량.
Objective To analyze themonitoring results of environmental hygiene inthe Blood Purification-Center and explore the management. Methods Hospitalinfection control personnel carried on the environmental hygiene monitoring in the blood purification center from 2010 January 2010 to December 2014. A total of 656 sampleswere examined , with monitoring covering airindex , surface of objects , hands of medical staffs and dialysis water. The infections from temporarydouble lumen catheteration were analyzed during the period. Results Of the 656 examinedsamples, 613 were qualified, with the overall pass rate of 96.4%. All the monitoring samples basi-cally achieved the qualified standard, with zero detection rate of the pathogen. The temporarydouble lumen catheterinfection rate was decreased from 8.6% to 3.4% during the period andthe difference was statistically sig-nificant between 2014 and 2010 (χ2 = 7.73, P < 0.01). Conclusion Strengthening the environmental hygiene monitoring may help increase the dialysis treatment and nursing work , decrease the infection rate of temporary dou-ble lumen catheter in hemodialysis patients and improve their quality of life.