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ICU高频接触物体表面消毒方法和效果评价的优选策略研究
引用本文:张静,豆桂军,陈晓琳,赵雪丽,王建斌,周谦让. ICU高频接触物体表面消毒方法和效果评价的优选策略研究[J]. 蚌埠医学院学报, 2022, 47(1): 118-121. DOI: 10.13898/j.cnki.issn.1000-2200.2022.01.029
作者姓名:张静  豆桂军  陈晓琳  赵雪丽  王建斌  周谦让
作者单位:1.蚌埠医学院附属淮北人民医院 感染管理科, 2350002.蚌埠医学院附属淮北人民医院 重症医学科, 235000
基金项目:安徽省淮北市科技局项目rj2018015
摘    要:目的:通过与传统消毒方法对比,观察不同载体吸附消毒剂对重症监护室(ICU)高频接触物体表面清洁消毒效果,探索经济、方便、有效的消毒方法和频次.方法:设置对照组和实验组,实验前采用含氯消毒剂+普通毛巾进行擦拭为对照组,实验组改用双链季胺盐消毒剂,分别采用消毒湿巾、超细纤维抹布和棉质水刺无纺布为载体对ICU高频接触物体表面...

关 键 词:消毒方法  高频接触物体表面  成本  频次
收稿时间:2020-05-30

Study on the disinfection methods and optimal strategies for surface of high-frequency contact object in ICU
ZHANG Jing,DOU Gui-jun,CHEN Xiao-lin,ZHAO Xue-li,WANG Jian-bin,ZHOU Qian-rang. Study on the disinfection methods and optimal strategies for surface of high-frequency contact object in ICU[J]. Journal of Bengbu Medical College, 2022, 47(1): 118-121. DOI: 10.13898/j.cnki.issn.1000-2200.2022.01.029
Authors:ZHANG Jing  DOU Gui-jun  CHEN Xiao-lin  ZHAO Xue-li  WANG Jian-bin  ZHOU Qian-rang
Affiliation:1.Department of Infection Management, Huaibei People's Hospital Affiliated to Bengbu Medical College, Huaibei Anhui 235000, China2.Department of Critical Care Medicine, Huaibei People's Hospital Affiliated to Bengbu Medical College, Huaibei Anhui 235000, China
Abstract:ObjectiveTo observe the cleaning and disinfecting effects of different carrier adsorption disinfectants on surface of high-frequency contact object in intensive care unit(ICU) by comparing with traditional disinfection methods, and explore the economic, convenient and effective disinfection methods and frequencies.MethodsBefore the experiment, the object treated with chlorine-containing disinfectant and ordinary towel was used as the control group, and the object treated with double-chain quaint salt disinfectant was set as the experimental group.The surfaces of high-frequency contact objects in ICU were treated with disinfecting wet wipes, microfiber rag and cotton spunlaced non-woven cloth as carriers to wipe and disinfect, and the disinfecting frequency was twice a day.The fluorescence and microbial detection in two groups were randomly carried out to identify the disinfection effects under the working state.The qualified rates of cleaning and disinfection of disinfectants with different material carriers before and after the experiment were compared, and the consumption cost of the three disinfection methods were analyzed.ResultsCompared with before experiment, the total qualification rates of the microbial detection method and fluorescent detection method in three different material carriers in the experimental group increased to 95.43% and 74.38%, respectively, and the difference of which was statistically significant(P < 0.01).There was no statistical significance in the disinfection effects among the same disinfectant adsorbed by three different carriers in the experimental group(P>0.05), and the consumption costs of disinfecting wet wipes, microfiber rag and cotton spunlaced non-woven cloth were 4.4 yuan/day per bed, 1.58 yuan/day per bed and 1.66 yuan/day per bed, respectively.ConclusionsDouble-chain quaternary amine salt disinfectant can be used as a routine disinfectant in ICU.At the cotton spunlaced non-woven fabric as the carrier of disinfection method, the cleaning and disinfection is completed in one step, which is cheap and good quality, twice daily, and an economic and effective method in maintaining the low pollution of surface of high-frequency contact.
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