本文選題：麻醉　切入點(diǎn)：微生物　出處：《現(xiàn)代預(yù)防醫(yī)學(xué)》2015年16期

【摘要】：目的通過在麻醉不同時(shí)點(diǎn)對(duì)手術(shù)環(huán)境致病微生物進(jìn)行檢驗(yàn),評(píng)估不同麻醉時(shí)點(diǎn)的微生物感染風(fēng)險(xiǎn),為控制患者醫(yī)院感染的發(fā)生提供參考依據(jù)。方法選擇我院手術(shù)室全麻相關(guān)器材進(jìn)行采樣,采樣對(duì)象為靜脈三通旋轉(zhuǎn)閥、氧氣流量調(diào)節(jié)鈕、螺紋管接口、麻醉機(jī)呼出氣入口和麻醉機(jī)呼吸回路氧氣入口。選擇每日各手術(shù)室第1例全麻手術(shù)且預(yù)計(jì)手術(shù)時(shí)間≥2 h者進(jìn)行采樣,共采集了75例手術(shù)的375個(gè)采樣點(diǎn),并進(jìn)行采樣和細(xì)菌培養(yǎng)檢測(cè)。結(jié)果本次采集的75例手術(shù)375個(gè)采樣點(diǎn)標(biāo)本檢測(cè)后發(fā)現(xiàn),靜脈三通旋轉(zhuǎn)閥在時(shí)點(diǎn)1的標(biāo)本未培養(yǎng)出細(xì)菌,合格率為100%,時(shí)點(diǎn)2檢出陽性57例,合格率為24.0%,時(shí)點(diǎn)3檢出陽性75例,合格率為0.0%;氧氣流量調(diào)節(jié)鈕、螺紋管接口、麻醉機(jī)呼出氣入口以及麻醉機(jī)呼吸回路氧氣入口按照相關(guān)標(biāo)準(zhǔn)各時(shí)點(diǎn)的合格率均為100%。結(jié)論手術(shù)麻醉過程中,麻醉相關(guān)器械容易造成污染,尤其靜脈三通旋轉(zhuǎn)閥,應(yīng)當(dāng)在麻醉過程中嚴(yán)格執(zhí)行無菌操作規(guī)范,控制因麻醉過程引起的醫(yī)院感染。
[Abstract]:Objective to evaluate the risk of microorganism infection at different time points of anesthesia and to provide reference for the control of nosocomial infection.Methods General anesthesia related equipment in operating room of our hospital was sampled. The sampling objects were three-way venous rotary valve, oxygen flow adjusting knob, threaded tube interface, exhalation inlet of anesthetic machine and oxygen inlet of breathing loop of anesthetic machine.The first case of general anesthesia operation in every operating room and the estimated operation time 鈮，

本文編號(hào)：1726320