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目的通过加强医院手术室微生物学的监测,以降低医院手术感染的发生率。方法按GB15892-1995《医院消毒卫生标准》,对北京友谊医院2010年5月和2010年6月不同手术室和产房医务人员手、物体表面、无菌器械进行采样和细菌学监测的效果进行评价。结果对不同手术部门手术室内医务人员手、物体表面和无菌器械随机采集样本203件,经细菌监测,合格195份,不合格8份,整体合格率96%;其中,手卫生监测全部合格,手术室物体表面监测合格率88.46%,无菌器械监测合格率93.55%。结论对医院手术室定期进行微生物学监测,及时发现传染源及传播途径,有针对性地从源头控制医院感染,对预防和控制医院感染的管理,降低医院手术感染率有着十分重要的现实意义。
Objective To reduce the incidence of surgical infections in hospitals by strengthening the monitoring of the microbiology in the hospital operating room. Methods According to GB15892-1995 “Sanitary Standards for Hospital Disinfection”, the effects of sampling and bacteriological monitoring of hand, object surface and sterile instruments of Beijing Friendship Hospital from May 2010 to June 2010 in different operating rooms and delivery rooms were evaluated . Results Totally 203 samples were randomly collected from the hand, object surface and sterile instruments of the operating room medical personnel in different surgical departments. The results showed that the total passing rate was 96%, of which 195 were qualified and 195 were unqualified. Among them, hand hygiene monitoring was all qualified, The operating room object surface monitoring pass rate of 88.46%, sterile equipment monitoring pass rate of 93.55%. Conclusion It is of great practical significance to conduct regular microbiological surveillance in the operating room of the hospital, find out the sources of infection and transmission routes in a timely manner, and control the nosocomial infection in a targeted manner. It is of great practical significance to prevent and control the management of nosocomial infections and reduce the infection rate in hospitals.