医学院的消毒协议的有效性 骨科医生操纵医学实验室的消毒协议的有效性
Harrison A Patrizio1, Riley Phyu1, Thomas Boyle2
1Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.
Journal of osteopathic medicine
|June 13, 2023
概括
医学专业的学生往往未能正确消毒骨科操纵医学检查表上的高接触区域,增加了病原体传播风险. 建议OMM实验室使用增强的消毒协议,以确保学生和教师的安全.
科学领域:
- 医学教育 医学教育
- 感染控制 感染控制
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,医疗保健相关感染控制的关键重要性得到了强调.
- 医疗机构必须重新评估消毒协议,特别是在像骨科医疗操纵医学 (OMM) 实验室这样的高相互作用环境中.
- 确保适当的消毒对于OMM培训环境中学生和教师的安全至关重要.
研究的目的:
- 评估医学院OMM实验室当前消毒协议的有效性.
- 评估医学学生对检查表的消毒程序的遵守情况.
主要方法:
- 一项横截面研究分析了20个OMM检查表,使用腺三酸盐 (ATP) 生物发光试验.
- 在初始消毒和学生使用/消毒后,从面部摇篮和中部区域采集了样本.
- 统计分析,包括威尔科克森签名等级测试,在初始和终端消毒之间比较病原体水平 (RLU).
主要成果:
- 在学生使用后,观察到面部摇篮的消毒失败率增加了40%.
- 面部摇篮上的病原体水平在终端消毒后 (中位数为4,295个RLU) 与初始消毒 (中位数为769个RLU) 相比显著更高.
- 在中部地区发生了75%的消毒失败率增加,在末端消毒后的病原体水平显著更高 (中位数为656个RLU),而不是最初的 (中位数为128个RLU).
结论:
- 医学学生在OMM检查桌上对高接触区域 (中,面部摇篮) 进行了不充分的消毒.
- 目前的OMM实验室消毒协议需要修改,以整合高触摸表面的彻底清洁.
- 改进的消毒实践对于尽量减少教育环境中病原体传播风险至关重要.
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