基层医院洁净手术室建设的思考

目的:分析评估基层医院洁净手术室建设管理现状,提高设备使用效率,制定感染控制措施。方法:用沉降法和浮游法对手术室空气样本进行细菌含量检测。结果:沉降法采集洁净手术室空气样本206份,其中手术区合格率为44.7%,周边区合格率为71.8%;普通手术间空气样本168份,合格率为97.6%。浮游法采集洁净手术室空气样本189份,其中手术区合格率52.9%,周边区合格率70.9%;普通手术间空气样本32份,合格率71.8%。结论:基层医院空气样本平均合格率低,建议相关部门制定洁净手术室建设应用管理制度,提高洁净设备使用人员的管理水平。

Discussion on Construction of Clean Operating Room in Primary Hospital

To enhance equipment use efficiency and map out infection control measures on the basis of analyzing and evaluating the present situation of construction and management of the operating room in primary hospital. Methods The operating room air samples were conducted by statistical analysis of the bacterial concentration, which was monitored by the depositing method and airborne bacteria method, In depositing method, of the 206 air samples detected from clean operating room, the qualified rate was 44.7% in the clean operating area and 71.8% in surrounding area; of the 168 air samples from general operating room, the qualified rate was 97.6%. In airborne bacteria method, of the 189 air samples detected from clean operating room, the qualified rate was 52.9% in clean operation area and 70.9% in surrounding area; of the 32 air samples from general operating room, the qualified rate was 71.8%. The qualified rate of air samples is low in primary hospital, so it is suggested that related management system should be built to administrate operating room, and the management ability of the equipment operators should be emphasized.