摘要
目的了解综合性医院医护人员工作服染菌情况,并提出相应的管理措施。方法连续采集某院2012年5—10月呼吸内科、普通外科、妇科和儿科医务人员穿着清洁工作服后第1、3、7天的样本,共120件,360份标本,对医护人员工作服染菌量进行监测和比较分析。结果穿着不同时间段工作服染菌量比较,差异有统计学意义。工作服穿着时间越长,染菌量越大。护士与医生[(10.65±3.38)CFU/cm2 vs(7.68±2.99)CFU/cm2],手术科室与非手术科室[(10.43±4.12)CFU/cm2 vs(8.60±3.01)CFU/cm2]医务人员穿着工作服平均菌落数比较,差异均有统计学意义(U值分别为5.06、2.78,均P<0.01),护士工作服的污染程度高于医生,手术科室高于非手术科室。工作服不同部位污染超标率比较,差异有统计学意义(χ2=33.12,P<0.01);其中袖口污染最严重,其次是腹部和胸前,污染超标率分别是73.33%、58.33%、36.67%。结论应加强医务人员工作服清洗制度管理,建议医务人员工作服每周更换2次,污染严重的科室更换频率需加大。
Objective To realize the bacterial contamination on uniforms of health care workers（HCWs）in a gen-eral hospital,and put forward the corresponding management measures.Methods In May-October 2012,a total of 360 specimens of 120 uniforms of HCWs in departments of respiratory internal medicine,general surgery,gynecolo-gy,and pediatrics were taken on the first,third and seventh day of wearing,bacterial counts on uniforms were mo-nitored,compared and analyzed.Results Bacterial counts of uniforms at different wearing time were statistically differ-ent.The longer time of uniforms were worn,the more bacteria could be detected.Bacterial contamination of nurses’uni-forms was more serious than doctors （[0.65±3.38]CFU/cm2 vs [7.68±2.99]CFU/cm2 ）,contamination of uniforms of HCWs in surgical departments was more serious than non-surgical departments（[10.43±4.12 ]CFU/cm2 vs [8.60± 3.01]CFU/cm2 ）（U=5.06,2.78,respectively,both P〈0.01）,over standard rate of different sites of HCWs’uniforms were significantly different（χ2 =33.12,P〈0.01））;over standard rates of bacteria on the cuffs,abdomen and chest sites was 73.33%,58.33% and 36.67% respectively.Conclusion The management of cleaning system of HCWs’uniforms needs to be strengthened,the change cycle of uniforms is suggested twice a week,and the frequency needs to be increased in high contamination departments.
出处
《中国感染控制杂志》
CAS
北大核心
2015年第2期117-119,共3页
Chinese Journal of Infection Control
关键词
医务人员
工作服
细菌污染量
监测
医院感染
health care worker
uniform
bacterial contamination
monitor
healthcare-associated infection
