在骨科家庭医学诊所的消毒方案的有效性
Riley Phyu1, Harrison A Patrizio1, Thomas Boyle2
1Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.
Journal of osteopathic medicine
|September 12, 2023
概括
骨科家庭医疗诊所的消毒协议显示,检查桌边的失败率为100%,这凸显了改善清洁实践的必要性,以预防与医疗相关的感染 (HAI). 加强对这些领域的关注对于患者安全至关重要.
科学领域:
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
- 医学微生物学 医学微生物学
背景情况:
- 医疗相关感染 (HAI) 是一个重要的公共卫生问题.
- 与医院相比,门诊机构需要更重视HAI预防.
- 骨科家庭医学诊所在疾病预防和患者护理方面发挥着关键作用.
研究的目的:
- 评估骨科家庭医疗诊所当前消毒方案的有效性.
- 确定需要改进消毒实践的地区.
- 评估清洁对减少生物污染的影响.
主要方法:
- 一项涉及骨科家庭医学环境中的18个检查表的横截面研究.
- 亚丁三酸盐 (ATP) 生物发光测定用于量化高接触面 (中和边缘) 上的生物污染.
- 在早上和一天结束消毒后采集的抽样;统计分析包括威尔科克森的签名等级和科恩的d测试.
主要成果:
- 在终端消毒后,中部区域的污染增加不显著 (p=0.9124,d=0.04).
- 检查表边缘始终显示100%的失败率,终端消毒后污染的减少不显著 (p=0.61,d=0.12).
- 在中体和边缘表面之间观察到消毒结果的显著差异.
结论:
- 目前的消毒方案是不够的,特别是在检查桌边.
- 改进和有针对性的清洁策略是必要的,以提高患者的安全.
- 优先考虑患者之间的彻底消毒对于预防骨科家庭医疗机构的疾病传播至关重要.
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