Pathogenic bacteria monitoring and disinfection effects for the surface of wall mounted medical oxygen system
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摘要: 目的 探讨医院内壁式吸氧系统的消毒效果,并对消毒成本进行比较,以期为控制医院内感染提供消毒数据。 方法 选择我院4个病区的120个壁式供氧装置,随机分为4组:对照组、观察组1、观察组2和观察组3。对照组采用生理盐水,观察组1采用75%酒精,观察组2采用500 mg/L含氯消毒液,观察组3采用葡萄糖酸氯己定(爱护佳)快速消毒液进行消毒,比较各组消毒液在消毒前后的病原菌阳性率、消毒后病原菌种类和消毒剂价格,计算各组的消毒成本并进行对比。 结果 消毒前,4组病原菌阳性率之间差异无统计学意义(P>0.05);经消毒后,3组观察组病原菌阳性率显著下降(P<0.01),但对照组消毒前后差异无统计学意义(P>0.05);消毒后病原菌阳性率从低到高以此为观察组3、对照组2、观察组1、对照组,且4组之间差异有统计学意义(P<0.01);对照组消毒后球菌和杆菌依然存在,但3个观察组中的球菌和杆菌数量均显著下降(P<0.05),且3组之间差异具有统计学意义(P<0.05);对比消毒成本发现,相同体积的75%酒精价格最低,含氯消毒液次之,爱护佳快速消毒液价格最高但消毒效果最好,以上3组相互对比差异均具有统计学意义(P<0.01)。 结论 3组消毒液均可以达到消毒目的但各有优缺点,葡萄糖酸氯己定快速消毒液与含氯消毒液的效果更好。医院应根据自身经济条件选择适合的方法进行消毒,以达到消毒灭菌、降低患者医院感染率的目的。Abstract: Objective To investigate the disinfection effects for the wall mounted medical oxygen system in hospital and compare the disinfection costs,so as to provide disinfection data for the control of nosocomial infection. Methods A total of 120 wall mounted medical oxygen system in four wards of our hospital were randomized into 4 groups:control group,observation group 1,observation group 2 and observation group 3.For disinfection,normal saline was used in the control group,75% alcohol was used in the observation group 1 500 mg/L chlorine-containing disinfectant solution was used in the observation group 2,and chlorhexidine gluconate (3MTM AvagardTM) fast disinfectant solution was used in the observation group 3.The positive rate of pathogenic bacteria before and after disinfection,and the type of pathogenic bacteria after disinfection and the price of disinfectant were compared among different groups.The disinfection costs of all the groups were calculated and compared. Results Before the disinfection,there was no significant difference in the positive rate of pathogenic bacteria among 4 groups (P>0.05).After the disinfection,the positive rate of pathogenic bacteria was significantly decreased in 3 observation groups (P<0.01),but there was no significant difference in that of control group(P>0.05).After the disinfection,the observation group 3,observation group 2,observation group 1 and control group demonstrated positive rates of pathogenic bacteria from low to high,and there was significant difference among 4 groups(P<0.01).In the control group,cocci and bacilli bacteria survived after the disinfection,but the number of cocci and bacilli bacteria was significantly decreased in all the three observation groups(P<0.05),and there was significant difference among 3 groups(P<0.05).As for the disinfections costs,75% alcohol of the same volume had the lowest price,followed by chlorine-containing disinfectant solution,while the Avagard disinfectant solution had the highest price but the best disinfection effects,and there was significant difference among these 3 groups(P<0.01). Conclusion s Three types of disinfectant solution can all achieve the purpose of disinfection,but they all have advantages and disadvantages.Chlorhexidine gluconate fast disinfectant solution and chlorine-containing disinfectant solution have better effects.Hospitals should choose appropriate disinfection methods based on their economic conditions,so as to achieve the purposes of disinfection and sterilization as well as reducing the nosocomial infection rate.
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Key words:
- Wall mounted medical oxygen system /
- Pathogens /
- Disinfection effect
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