本文選題：口腔正畸 + 醫(yī)院感染�。� 參考：《中華醫(yī)院感染學(xué)雜志》2014年06期

【摘要】：目的分析口腔正畸器械消毒效果,調(diào)查醫(yī)務(wù)人員手衛(wèi)生情況,并探討針對(duì)性預(yù)防措施,為臨床提供借鑒。方法將醫(yī)院口腔科正畸器械于消毒前后分別進(jìn)行細(xì)菌培養(yǎng),醫(yī)護(hù)人員消毒后采用一次性擦手紙巾擦手為對(duì)照組,采用消毒干毛巾擦手為觀察組,比較正畸器械消毒前后以及兩組醫(yī)護(hù)人員消毒前后手部細(xì)菌菌落數(shù),數(shù)據(jù)采用SPSS14.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果包括細(xì)絲鉗、弓絲架、冠剪、鋼絲筒、持針器、橡皮鏈合、工具架、醫(yī)療車及抽屜在內(nèi)的正畸器械消毒后細(xì)菌菌落數(shù)較消毒前明顯下降,組間比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組和觀察組消毒前手部細(xì)菌菌落數(shù)分別為20.4、20.4CFU/cm2;對(duì)照組和觀察組消毒后手部細(xì)菌菌落數(shù)分別為207.5、2.5CFU/cm2;對(duì)照組和觀察組醫(yī)護(hù)人員消毒前手部細(xì)菌菌落數(shù)組間比較差異無(wú)統(tǒng)計(jì)學(xué)意義;消毒后手部細(xì)菌菌落數(shù)對(duì)照組明顯多于消毒前,觀察組明顯少于消毒前,組間比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論正畸器械消毒不嚴(yán)格及醫(yī)護(hù)人員洗手方式不正確,是誘發(fā)正畸治療期間醫(yī)院感染的重要因素;故口腔正畸治療醫(yī)院感染預(yù)防應(yīng)當(dāng)注重器械消毒及提高醫(yī)護(hù)人員感染控制意識(shí)。
[Abstract]:Objective to analyze the disinfection effect of orthodontic instruments, investigate the hand hygiene of medical personnel, and explore the preventive measures to provide reference for clinical practice. Methods the orthodontic instruments of hospital stomatology department were cultured before and after disinfection. After disinfection, the medical staff used disposable hand wipes as the control group, and disinfected dry towels as the observation group. The number of bacteria in hand before and after disinfection of orthodontic instruments and before and after disinfection were compared. The data were statistically analyzed by SPSS14.0 software. The results showed that the bacterial colony number of orthodontic instruments, including filaments forceps, arch wire frames, crown scissors, wire tubes, needle holders, rubber chains, tool holders, medical vehicles and drawers, decreased significantly after disinfection. The number of bacterial colonies in the hands of the control group and the observation group was 20.4% CFU / cm _ 2 before disinfection respectively; the bacterial colony number of the control group and the observation group was 207.5% 2.5 CFU / cm ~ (-2) before disinfection; the number of the control group and the observation group was 207.5% ~ 2.5 CFU / cm ~ (2) before disinfection; the number of bacterial colonies in the control group and the observation group was 207.5% ~ 2.5 CFU / cm ~ (2) before disinfection, respectively. There was no significant difference between groups of bacterial colonies. After disinfection, the number of bacteria in the control group was significantly higher than that before disinfection, and the number of bacteria in the observation group was significantly lower than that before disinfection, and the difference between the two groups was statistically significant (P 0.05). Conclusion the disinfection of orthodontic instruments is not strict and the way of washing hands by medical staff is not correct, which is an important factor in inducing nosocomial infection during orthodontic treatment. Therefore, the prevention of orthodontic nosocomial infection should pay attention to the disinfection of instruments and improve the consciousness of infection control of medical staff.
【作者單位】： 三門峽市中心醫(yī)院口腔科;鄭州大學(xué)第一附屬醫(yī)院口腔頜面外科;
【基金】：河南省醫(yī)學(xué)科技基金資助項(xiàng)目(201003030)
【分類號(hào)】：R187

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