放疗辅助设备物体表面清洁消毒在预防医院感染中的应用价值.docVIP

放疗辅助设备物体表面清洁消毒在预防医院感染中的应用价值 　　[摘要] 目的 提高放疗辅助设备物体表面洁净度，控制医院感染，改善患者就医体验。 方法 选择2014年1月～2015年1月在我院接受放射治疗的患者70例作为对照组，再选择2015年2月～2016年2月在我院接受放射治疗的患者70例作为研究组，对照组患者对设备进行常规消毒，研究组患者对放疗辅助设备物体表面使用一次性卫生湿巾进行擦拭，一步完成物体表面的清洁-消毒，记录两组患者医院感染发生率、2 h消毒合格率、8 h消毒合格率，并统计细菌总数。 结果 研究组患者医院感染发生率为4.29%、放疗设备2 h后消毒合格率为95.71%、8 h后消毒合格率为88.57%，均显著优于对照组，差异有统计学意义（P0.05）；同时研究组空气中细菌菌落总数为（126.53±18.53） CFU/m3、设备表面细菌菌落总数（3.61±0.47） CFU/m3、工作人员双手细菌菌落总数（2.33±0.41） CFU/m3、医疗器械细菌菌落总数（1.57±0.36） CFU/m3，均显著优于对照组，差异有统计学意义（P0.05）。 结论 实施放疗辅助设备物体表面使用一次性卫生湿巾进行清洁-消毒程序，能显著减少细菌总数，有效控制放疗技术科内的医院感染，对化疗效率和提高患者生活质量有重要意义。 　　[关键词] 放疗辅助设备；物体表面；清洁-消毒；一次性卫生湿巾；预防；医院感染 　　[中图分类号] R194.4 [文献标识码] B [文章编号] 1673-9701（2016）10-0102-03 　　[Abstract] Objective To improve the surface cleanliness of radiotherapy accessory equipment， control hospital infection and improve the patients hospital experience. Methods Seventy patients who received radiotherapy in our hospital from January 2014 to January 2015 were selected as the control group and 70 patients who received radiotherapy in our hospital from February 2015 to February 2016 were selected as the study group. For the control group， routine sterilization was conducted on the equipment， and for the study group， disposable sanitary wet tissue was used to wipe the surface of radiotherapy accessory equipment， which completed surface cleaning-sterilization at the same time. The incidences of hospital infection， 2-hour sterilization pass rates and 8-hour sterilization pass rates were recorded and the total numbers of bacterial colonies were counted. Results In the study group， the incidence of hospital infection was 4.29%， the 2-hour sterilization pass rate was 95.71% and the 8-hour sterilization pass rate was 88.57%， which were all significantly better than those of the control group， with statistically significant differences（P0.05）. And in the study group， the total number of bacterial colonies in air was （126.53±18.53） CFU/m3， the total number of bacterial colonies on equipment surfa