不同材質(zhì)潔布對醫(yī)院高頻接觸表面清潔效果的比較

熊惠萍+李慧琴+周蓮英

[摘要]目的 提高醫(yī)院高頻接觸表面清潔效果，減少醫(yī)院相關(guān)感染的發(fā)生。方法 2016年11～12月取選我院婦產(chǎn)科、骨科、普外科高頻接觸的鍵盤、門把手、電話機(jī)、微泵、床頭鈴和床欄等60個物體表面作為研究對象，分別用三種不同材質(zhì)潔布對這些物體表面進(jìn)行清潔，并在清潔前后采樣。結(jié)果 消毒濕巾、超纖維毛巾、棉質(zhì)毛巾細(xì)菌清除率依次為93.9%、92.4%和65.2%， 清潔后的物體表面符合環(huán)境衛(wèi)生標(biāo)準(zhǔn)合格率依次是100%、95%和30%，消毒濕巾和超纖維毛巾的清潔效果優(yōu)于棉質(zhì)毛巾，差異有統(tǒng)計學(xué)意義（P<0.05），消毒濕巾與超纖維毛巾對物體表面細(xì)菌清除率差異無統(tǒng)計學(xué)意義（P>0.05）。結(jié)論 消毒濕巾和超纖維毛巾對物體表面均具有良好的清潔效果，但消毒濕巾的性價比遠(yuǎn)低于超纖維毛巾，因此在潔布的選擇方面超纖維毛巾是最佳的。

[關(guān)鍵詞]不同材質(zhì)潔布；高頻接觸物體表面；清潔效果

[中圖分類號] R194.4 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721（2017）08（c）-0124-03

[Abstract]Objective To improve the cleaning effect of high-frequency contact surface in the hospital and reduce the incidence of hospital-related infection.Methods From November to December 2016，60 surfaces including keyboard，door handle，telephone，micro pump，bedside bell and bed bar，etc.from departments of gynaecology and obstetrics，orthopedics，and general surgery were selected as research objects.The surfaces were cleaned by the cloths with three different materials and samples were collected before and after cleaning.Results The bacterial clearance rates of disinfecting wipe，microfiber towel，and cotton towel was 93.9%，92.4% and 65.2% respectively，and the qualified rate meeting the hygienic standard after cleaning was 100%，95% and 30% accordingly，and the cleaning effect of disinfecting wipe and microfiber towel were better than that by cotton towel （P<0.05）.The bacterial clearance rate was not displayed statistical difference in disinfecting wipe and microfiber towel （P>0.05）.Conclusion Both disinfecting wipe and microfiber towel obtain favorable cleaning effect，but the cost performance of disinfecting wipe is much lower than that of the microfiber towel，so microfiber towel is the best choice.

[Key words]Clean cloths with different materials；High-frequency contact surface；Cleaning effect

醫(yī)療機(jī)構(gòu)環(huán)境的清潔在醫(yī)院感染傳播中的作用，近幾年引起了感控屆人員的高度關(guān)注；日趨嚴(yán)重的醫(yī)院感染是全球關(guān)注的公共衛(wèi)生問題，在醫(yī)院環(huán)境中存在大量的病原微生物[1]；目前的許多研究已證實(shí)醫(yī)院環(huán)境物體表面、醫(yī)務(wù)工作者的手、醫(yī)療設(shè)備都可以成為病原微生物的載體，這與醫(yī)院感染的發(fā)生密切相關(guān)[2]；患者診療區(qū)域高頻接觸的環(huán)境表面，可能充當(dāng)著醫(yī)院病原體的儲存庫，并通過醫(yī)務(wù)人員的手直接或間接地實(shí)現(xiàn)醫(yī)院內(nèi)傳播[3]。在醫(yī)院環(huán)境清潔的潔布中，種類很多，有消毒濕巾、超纖維毛巾、棉質(zhì)毛巾和……