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  • 洁净层流手术室在感染预防对策
    来源:http://www.drdemento.net 浏览: 发布日期:2021-10-25
    1、注重洗手与手的消毒
    1. Pay attention to hand washing and hand disinfection
    外科洗手是洁净层流手术室控制感染的有效措施,普通洗手细菌总5Fu/cm2,外科洗手擦消毒液后为无菌生长?;だ砣嗽苯哟ゲ∪嘶蛭廴疚锲非昂?,进行无菌操作前后均应洗手,上台人员应严格按刷手程序进行,不能求快而减少刷手的步骤和时间,洗手、擦手用消毒液抹手后才能上台。无菌擦手巾应放在清洁台面上,打开未用完超过4h后重新灭菌。
    Surgical hand washing is an effective measure to control infection in clean laminar flow operating room. The total amount of common hand washing bacteria is 5FU / cm2. Surgical hand washing grows aseptically after wiping disinfectant. Before and after contacting patients or contaminated articles, nurses should wash their hands before and after aseptic operation. Personnel on the stage should strictly follow the hand brushing procedure. They should not reduce the steps and time of hand brushing. They can only go on stage after washing and wiping their hands with disinfectant. Aseptic hand towels should be placed on the clean table, and re sterilized after opening them for more than 4H.
    2、无菌物品的有效灭菌
    2. Effective sterilization of sterile articles
    手术物品的灭菌是洁净层流手术室控制感染的重要对策之一,手术器械原则上用高压蒸汽灭菌,对于不能耐高温、高湿的物品环氧乙烷,环氧乙烷是有效的低湿灭菌的物品(橡胶类、塑料类)消毒方法,HBsAg阳性、特殊感染手术机械先用0.2%有效氯浸泡30min,然后用水清洗彻底祛除器械表面的有机物,擦干上油打包,特殊手术用过的器械需双重高压灭菌处理。
    Sterilization of surgical articles is one of the important measures to control infection in clean laminar flow operating room. In principle, surgical instruments are sterilized with high-pressure steam. Ethylene oxide is the first choice for articles that cannot withstand high temperature and high humidity. Ethylene oxide is the best disinfection method for effective low humidity sterilized articles (rubber and plastic). HBsAg positive and special infected surgical machines are soaked with 0.2% effective chlorine for 30min, Then wash with water, thoroughly remove the organic matter on the surface of the instrument, wipe dry, oil and pack. The instruments used in special surgery need double high-pressure sterilization.
    3、严防锐利器械破损
    3. Strictly prevent sharp instruments from being damaged
    洁净层流手术室工作人员严格按照操作规程,正确传递器械,使用持针器上卸刀片,用过的针头及留置针不要再套回针帽内,正确使用锐器盒,防止在处理锐利器械的过程中造成自身伤害。如被锐器刺伤应遵循处理原则并抽血进行追踪检查。穿有跟的鞋避免脚被血液污染1。隔离鞋应每日清洗并消毒,做到一人一鞋,专鞋专用。对有足部化脓性感染或脚癣者,采取隔离清洗,单独消毒。
    层流手术室装修
    The staff in the clean laminar flow operating room shall correctly transfer the instruments in strict accordance with the operating procedures, use the needle holder to remove the blade, do not put the used needle and indwelling needle back into the needle cap, and correctly use the sharp instrument box to prevent self injury in the process of handling sharp instruments. If you are stabbed by a sharp instrument, follow the treatment principle and draw blood for follow-up inspection. Wear heel shoes to avoid blood contamination 1. Isolation shoes shall be cleaned and disinfected every day, so that one person and one shoe are dedicated to special shoes. Those with suppurative foot infection or tinea pedis shall be isolated, cleaned and disinfected separately.
    4、一次性使用医疗用品的管理
    4. Management of disposable medical supplies
    手术患者的血液、体液、分泌液、排泄液是医院感染的主要传染源,采用一次性使用医疗用品、卫生用品,可有效地控制洁净层流手术室医源性感染,一次性物品使用前查看一次性灭菌物品;核对产品名称、型号规格、制造厂名、产品商标、无菌有效期、生产批号等,包装密封性好才可使用,如遇有过期、不合格、不配套、被污染、潮湿、破裂、字迹模糊不清者均不可使用。
    The blood, body fluid, secretory fluid and excretory fluid of surgical patients are the main sources of nosocomial infection. The use of disposable medical supplies and sanitary supplies can effectively control the iatrogenic infection in the clean laminar flow operating room. Check the disposable sterilized items before use; Check the product name, model and specification, manufacturer's name, product trademark, aseptic validity period, production batch number, etc. the product can only be used if the packaging has good sealing performance. It can not be used if it is expired, unqualified, unmatched, contaminated, wet, broken or illegible.
    5、无菌持物钳消毒方法改进
    5. Improvement of disinfection method for sterile holding forceps
    洁净层流手术室无菌持物钳经历了由湿置→干置→取消的改进,其方法效果可靠、方便、节省成本。采用取消无菌持物钳属于方法,方法简便易行,只需将手术室的物品单独打包高压灭菌。采取取消无菌持物钳减少了污染环节,使无菌物品免受二次污染,也降低了手术室医用材料的成本。所以取消无菌持物钳非常符合医院感染控制要求及科室经济管理。
    The sterile holding forceps in clean laminar flow operating room have been improved from wet to dry to cancel. The method is reliable, convenient and cost-effective. It is the best method to cancel the sterile holding forceps. The method is simple and easy. Only the articles in the operating room need to be packed separately for high-pressure sterilization. The elimination of sterile holding forceps reduces the pollution link, prevents sterile articles from secondary pollution, and reduces the cost of medical materials in the operating room. Therefore, the elimination of sterile holding forceps is very in line with the requirements of nosocomial infection control and department economic management.
    6、手术室与供应室一体化管理
    6. Integrated management of operating room and supply room
    有利于洁净层流手术室净化,减少感染。手术室和供应室的污染区和无菌区各设置一条通道(直通电梯),将手术室与供应室联系在一起。在手术室有限的空间内清洗、消毒、灭菌器械,准备手术敷料包,不符合消毒隔离要求。在手术室与供应室一体化运行后,手术用的敷料直接送至中心供应室打包间包装,手术器械由污染区送往供应室清洗、包装。采用这种方法既避免了无菌包在运输过程中被污染,也避免了手术室空气的污染。
    It is conducive to the purification of clean laminar flow operating room and reduce infection. A channel (direct elevator) is set in the polluted area and sterile area of the operating room and the supply room to connect the operating room with the supply room. Clean, disinfect and sterilize instruments in the limited space of the operating room, and prepare surgical dressing package, which does not meet the disinfection and isolation requirements. After the integrated operation of the operating room and the supply room, the surgical dressings are directly sent to the packaging room of the central supply room for packaging, and the surgical instruments are sent to the supply room for cleaning and packaging from the contaminated area. This method not only avoids the pollution of sterile package in the transportation process, but also avoids the air pollution in the operating room.
    以上就是层流手术室装修http://www.drdemento.net为大家介绍的内容,感谢您在百忙之中查看我公司的信息内容,如果您想要了解的更多,欢迎您来电进行咨询!
    The above is the decoration of laminar flow operating room http://www.drdemento.net Thank you for checking the information of our company in your busy schedule. If you want to know more, you are welcome to call for consultation!

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