在重症监护病房使用消毒设备

Q4 Medicine Acta Medica Saliniana Pub Date : 2019-09-17 DOI:10.5457/ams.v49i0.525
Azra Čamdžić, A. Ljubović, Kamelija Madacki Todorović
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引用次数: 0

摘要

简介:强化单位微生物群主要由能够在潮湿介质中存活的微生物组成,如革兰氏阴性菌、皮肤定植微生物、能够粘附在医疗器械上的微生物以及对传统抗生素具有耐药性的微生物。因此,重症监护室的清洁和消毒对预防和控制医院感染具有重要意义。材料和方法:在一名医院细菌菌株定植的患者出院后,在重症监护室的隔离室演示了该设备的使用。第一次采样在患者出院后立即进行,第二次采样在对设备和空间进行标准医疗清洁后进行,第三次采样在用“SterisafePro”消毒后进行。涂片分析在OU临床微生物学中心进行。根据标准操作程序(SOP)进行定量方法分析。根据公式计算分析结果,并以CFU/cm2的值表示。结果:患者出院并进行机械清洁后,三个样本中分离出鲍曼不动杆菌,一个样本中有凝固酶阴性葡萄球菌,两个涂片保持无菌。在三个样品中分离到鲍曼不动杆菌和凝固酶阴性葡萄球菌。使用消毒设备后,所有拭子都是无菌的。结论:“Sterisafe”Pro消毒器对医院消毒效果良好。使用“Sterisafe”Pro设备的优点是不使用化学物质,劳动力和使用成本低,对患者和工作人员无害,并且非常容易使用。
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Using disinfection devices in Intensive Care Units
Introduction: Intensive unit microflora mainly consists of organism capable of surviving in moist media, such as gram-negative bacteria, skin-colonizing microorganisms, those with the ability to adhere to medical devices, and microorganisms resistant to conventional antibiotics. Therefore, cleansing and disinfection of intensive care units is of great importance in the prevention and control of hospital infections.Material and Methods: The use of the device was demonstrated in the isolation room of the intensive care unit after a patient colonized with hospital bacterial strains was discharged. The first sampling was carried out immediately after the patient was discharged, the second after the standard medical cleansing of the equipment and space, and the third after the disinfection with the “SterisafePro”. The analysis of the smears was performed at the OU Clinical Microbiology. Quantitative method analyses was performed according to standard operative procedure (SOP). The results of the analysis are calculated according to the formula and expressed in the values of CFU / cm2.Results: After the patient was discharged and the area cleaned mechanically, the Acinetobacter baumanii was isolated in three samples, coagulase negative staphylococci in one, while two smears remained sterile. Acinetobacter baumanii and coagulase negative staphylococci were isolated in three samples. After using the disinfecting device, all swabs were sterile.Conclusion: Disinfection of the hospital with the “Sterisafe”Pro” device has proved to be very successful. The advantages of using the “Sterisafe”Pro” device are that is uses no chemicals, has a low labor and usage costs, is harmless to the patients and staff, and is very easy to use. 
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Acta Medica Saliniana
Acta Medica Saliniana Medicine-Medicine (all)
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