医院病房次氯酸钠浸泡消毒效果调查

Yoshiyuki Furumi, I. Nakamura, Tomohide Shimodaira, Sachi Takei, Ayako Komatu, Asami Okukawa, Hiroshi Soeda, Tukako Hayakawa, Hidehiro Watanabe
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引用次数: 1

摘要

通过消毒液管理小组的活动,规范了次氯酸钠浸泡消毒方法,修订了感染控制手册。在本研究中,我们对次氯酸钠浸泡消毒进行了实际调查,作为修订后的人工符合性检查的一部分。手册修订后,调查期为2018年9月至2019年3月。目标是医院所有病房的22个科室。调查内容通过直接观察和听力证实次氯酸钠消毒状况。此外,用比色法确定了次氯酸钠的浓度。共调查43例。其中,对全部内容进行调查的41例进行分析。总依从率为36.6%(15例)。各含量合格率浓度为58.5%(24例),消毒状态为71.0%(29例),浸泡时间为83.0%(34例)。注意力不集中对总体依从性的下降有影响。对次氯酸钠浸泡消毒的实际情况进行调查,发现在医院病房中使用不当。此外,还可以通过评价各项内容的符合性来明确改进点,包括浓度测量。
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Survey on Immersion Disinfection Using Sodium Hypochlorite in Hospital Wards
We standardized the sodium hypochlorite immersion disinfection method and revised the infection control manual through the activities of the Disinfectant Stewardship Team (DST). In this study, we conducted an actual survey on immersion disinfection using sodium hypochlorite as part of the revised manual compliance check. After the manual was revised, the survey period was from September 2018 to March 2019. The targets were 22 departments in all hospital wards. The survey contents confirmed the disinfection status of sodium hypochlorite by direct observation and hearing. Furthermore, the concentration of sodium hypochlorite was confirmed using a colorimetric method. A total of 43 cases were investigated. Of these, 41 cases in which all contents were investi-gated were analyzed. The overall compliance rate was 36.6% (15 cases). In terms of the compliance rate for each content, the concentration was 58.5% (24 cases), disinfection status was 71.0% (29 cases), and immersion time was 83.0% (34 cases). Deficiencies in concentration had an effect on the decline in overall compliance. Investigation of the actual condition of immersion disinfection with sodium hypochlorite re-vealed the inappropriate use in hospital wards. In addition, improvement points could be clarified by evaluating the compliance status of each content, including concentration measurement.
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