电动洗胃机不同管路清洗消毒方法清洗消毒效果的比较
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摘要
目的探讨电动洗胃机不同管路清洗消毒方法的清洗消毒效果。方法选取2015年1月~2016年12月我院使用过的3台电动洗胃机150例次作为研究对象,将其随机分为清水组、洗洁精组及多酶组,每组各50例次,分别采用三种清洗方法清洗消毒后保存,于保存后1、3、5 d进行肉眼观察和生物学监测采样送检,比较三种清洗方法的清洗消毒效果。结果多酶组的合格率为98.00%,明显高于洗洁精组的86.00%和清水组的68.00%,差异有统计学意义(P<0.05)。清洗消毒后第1天,三种方法细菌菌群≤20 CFU/cm~2的比例比较,差异无统计学意义(P>0.05)。清洗消毒后第3、5天,多酶组细菌菌群≤20 CFU/cm~2的比例明显高于洗洁精组和清水组,差异均有统计学意义(P<0.05)。结论使用电动洗胃机管路后,采用多酶稀释液清洗消毒效果较好,便于操作,可有效预防、控制交叉感染和医源性感染。
Objective To investigate the cleaning and disinfection effects of different methods of cleaning and disinfecting different tubes in electro-stomach irrigator.Methods From January 2015 to December 2016,3 electric lavage machines used in our hospital were washed for 150 times,which were evenly divided into clean water group,detergent group,and multi-enzyme group in random,50 times in each group.After being cleaned and disinfected,they were observed visually and sample-inspected after biological monitoring at days 1,3,and 5 after storage in order to compare the cleaning and disinfection effects of the three cleaning methods.Results The qualified rate in the multi-enzyme group was 98.00%,significantly higher than 86.00% in the detergent group and 68.00% in the clean water group with statistical significance(P <0.05).Day 1 after cleaning and disinfection,the proportion of bacteria ≤20 CFU/cm~2 in the three groups were compared,the differences were not statistically significant(P>0.05).Day 3 and 5 after cleaning and disinfection,the proportion of bacteria ≤20 CFU/cm~2 in the multi-enzyme group was much higher than that in the detergent group and clean water group(P<0.05).Conclusion For electro-stomach irrigator pipelines,application of multi-enzyme diluent for cleaning and disinfecting is effective,and easy to operate,which can effectively prevent and control cross-infection and iatrogenic infection.
Objective To investigate the cleaning and disinfection effects of different methods of cleaning and disinfecting different tubes in electro-stomach irrigator.Methods From January 2015 to December 2016,3 electric lavage machines used in our hospital were washed for 150 times,which were evenly divided into clean water group,detergent group,and multi-enzyme group in random,50 times in each group.After being cleaned and disinfected,they were observed visually and sample-inspected after biological monitoring at days 1,3,and 5 after storage in order to compare the cleaning and disinfection effects of the three cleaning methods.Results The qualified rate in the multi-enzyme group was 98.00%,significantly higher than 86.00% in the detergent group and 68.00% in the clean water group with statistical significance(P <0.05).Day 1 after cleaning and disinfection,the proportion of bacteria ≤20 CFU/cm~2 in the three groups were compared,the differences were not statistically significant(P>0.05).Day 3 and 5 after cleaning and disinfection,the proportion of bacteria ≤20 CFU/cm~2 in the multi-enzyme group was much higher than that in the detergent group and clean water group(P<0.05).Conclusion For electro-stomach irrigator pipelines,application of multi-enzyme diluent for cleaning and disinfecting is effective,and easy to operate,which can effectively prevent and control cross-infection and iatrogenic infection.
引文
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[4]朱熠冰,姜志明,解建.灭蚤药急性中毒救治成功1例[J].山东大学学报(医学版),2016,54(11):95-96.
[5]莫军,陈晓兵,许铁,等.强化血液灌流对急性百草枯中毒患者血清百草枯清除率和预后的影响[J].中国全科医学,2015,18(8):933-936.
[6]兰超,李璐,李莉,等.二氧化碳结合力变化对急性百草枯中毒预后判断的价值分析[J].实用医学杂志,2015,31(3):388-391.
[7]余凌云,吴志德,魏坦明,等.急性农药中毒患者医院感染危险因素分析[J].中华医院感染学杂志,2015,25(9):2052-2054.
[8]祝玉慧,李姗姗,陈健,等.持续床旁血液净化联合血液灌流抢救急性重度吡虫啉中毒1例[J].重庆医学,2015,44(17):2446-2447.
[9]冯百钧.置入胃管洗胃对重度急性酒精中毒的疗效观察[J].中国实用内科杂志,2015,35(S1):164-165.
[10]刘新平,左怀云,尹睿.淹溺后胃内大量淤泥伴多发外伤患者的护理[J].中华护理杂志,2015,50(9):1140-1142.
[11]李敬,李颖,马国营,等.百草枯中毒解毒一、二号方治疗急性百草枯中毒的效果及对炎性因子的影响[J].广东医学,2015,36(17):2748-2750.
[12]冯玉玺,孔祥领,王冬梅,等.一次性灭菌洗胃组件包的研制应用及对中毒患者洗胃的效果研究[J].中国全科医学,2017,20(2):240-243.
[13]潘漩漩.不同年龄段儿童急性中毒临床特点分析[J].中国全科医学,2016,19(S1):207-208.
[14]荆玉霞.血液滤过抢救急性重度有机磷中毒的临床疗效观察[J].中国全科医学,2017,20(S2):92-94.
[15]胡安.生命支持下改良洗胃术抢救有机磷农药中毒呼吸衰竭研究[J].重庆医学,2014,43(27):3622-3624.