不同清洁消毒方法对治疗室操作台面消毒的效果比较

摘要

目的 探讨不同清洁消毒方法对治疗室操作台面清洁消毒的效果,为合理选择消毒方法,降低医院感染风险提供理论依据.方法 以普通病房治疗室配液操作台为研究对象,分别采用清水、含氯消毒液、乙醇和季胺盐一次性消毒湿巾对台面进行消毒,并对各组消毒前后台面采样,检测细菌菌落数,计算比较各组灭菌率.结果 4组的灭菌率分别为19.36％、96.62％、95.92％、96.88％,清水组灭菌率显著低于其他3组(P＜0.01),而其他3组间比较,无统计学差异(P＞0.05).结论 治疗室操作台面单纯应用清水擦拭不能达到有效的消毒灭菌效果,因此不推荐临床继续应用.季胺盐一次性消毒湿巾以其有效、快捷、安全等特点,更加符合现代护理的要求,推荐临床应用.%Objective To explore the effects of different cleaning and disinfection methods in cleaning and disinfection of operation platform in treatment room and provide theoretical basis for reasonable selection of disinfection method and reduction of nosocomial infection risk.Methods Liquid mixing operation platforms in treatment rooms of room in general wards were selected as study subjects and were respectively disinfected with clear water,chlorine disinfection,alcohol and disposable quaternary ammonium disinfectant wipes.The disinfected platforms were sampled to detect the count of bacterial colonies and calculate and compare the disinfection rates among the four groups.Results The disinfection rates in the four groups were 19.36％,96.62％,95.92％ and 96.88％,respectively.The disinfection rate in the clear water group was significantly lower than that in the other three groups (P ＜0.01),while there was no significant difference among the other three groups (P ＞ 0.05).Conclusion Cleaning of the operation platform in the treatment room only with clear water cannot achieve effective disinfection effect,thus the further clinical use of clear water is not recommended.Disposable quaternary ammonium disinfectant wipes are effective,efficient,and safe,more in line with the requirements of modem nursing and recommended for clinical application.