尘肺肺泡灌洗的院内感染控制

目的探讨更完善有效的尘肺肺泡灌洗院内感染的控制方法。方法气管镜室与医院感染管理科联合，把尘肺肺泡灌洗的院内感染控制作为每月质量监测的内容，通过对深圳市职业病防治院2012年6—12月的193例肺泡灌洗的患者从多个环节进行院内感染控制，与2011年3月—2012年5月的193例肺泡灌洗患者进行对照，分析实施院内感染控制前后尘肺肺泡灌洗患者和医务人员院内感染情况、内镜监测情况，探讨更完善的院内感染控制方法。结果实施院内感染控制后，内镜监测的合格率（内镜内腔100％，内镜表面100％）高于控制前（内镜内腔92．2％，内镜表面88．1％），实施院内感染控制后，医务人员无发生院内感染，低于控制前发生率（1．81％），患者院内感染发生率（1．03％）低于控制前（6．21％），差异均有统计学意义（P〈0．01或P〈0．05）。结论完善后的尘肺肺泡灌洗的院内感染控制方法，能有效降低院内感染的发生率，提高内镜监测的合格率，更好保证尘肺患者和医务人员的健康。

Control on nosocomial infection of bronchoalveolar lavage in pneumoconiosis patients

Objective ] To discuss a better method for controlling nosocomial infection in pneumoeoniosis patients. Methods ] By the combination of the bronchoscopy department and the nosocomial infection management department, the nosocomial infection con- trol of bronchoalveolar lavage （BAL） in pneumoconiosis patients was regarded as a content of monthly quality monitoring. The noso- comial infection control from different steps was conducted in 193 patients with BAL in Shenzhen Hospital for Occupational Disease Prevention and Treatment from June to December 2012, and the results were compared with 193 patients who received BAL from March 2011 to May 2012. The differences in nosocomial infection and endoscopic surveillance of BAL patients and medical staff between before and after implementing the nosoeomial infection control were analyzed, to discuss the better method lor controlling nos- ocomial infection. Results ] After implementing the nosocomial infection control, the qualified rates of endoscopic surveillance （en- doscopic cavity of 100% and endoscopic surface of 100% ） were higher than those before implementing the nosocomial infection control ~ endoscopic cavity of 92.2% and endoscopic surface of 88.1% ）. There was no nosocomial infection case in medical staff after implementing the nosocomial infection control, which the incidence rate was lower than that before implementation （ 1.81% ）, while the incidence rate of nosocomial infection in patients after implementation （ 1.03 % ） was lower than that before implementation （6.21%）, and the differences were statistically significant { P 〈0.01 or P 〈0.05 ）. Conclusion]The improved method for controlling nosocomial infection of BAL in pneumoconiosis patients can effectively reduce the incidence rate of nosocomial infection, increase the qualified rates of endoscopic surveillance, and ensure the health of pneumoconiosis patients and medical staff.