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在医疗保健人员中,弹性半面罩呼吸器消毒的做法
Stella E Hines1, Paul Thurman2, Eileen Zhuang2
1Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
American journal of industrial medicine
|September 27, 2023
概括
大多数医疗保健工作者在护理患者后消毒可重复使用的弹性半面罩呼吸器 (EHMR),但较少的人使用集中清洁和消毒. 改善标准化消毒是EHMR采用的关键.
科学领域:
- 医疗保健中的感染控制.
- 职业健康和安全 职业健康和安全
- 呼吸系统保护 呼吸系统保护
背景情况:
- 一次性N95呼吸器的流行性短缺强调了需要可重复使用的替代品,如弹性半面罩呼吸器 (EHMRs).
- 在COVID-19应对期间,两个医疗保健组织实施了EHMR,使用不同的清洁和消毒协议.
- 了解用户的做法和看法对于有效实施EHMR至关重要.
研究的目的:
- 评估两个医疗机构的EHMR用户的消毒实践.
- 为了确定消毒行为和对EHMR清洁性的看法的预测因素.
- 为改善医疗保健中可重复使用呼吸器的使用提供信息的策略.
主要方法:
- 对1080名EHMR用户进行了一项调查,评估消毒做法,培训回忆和工作环境.
- 收集了个人问题与共享池 EHMR 使用和清洁感知数据.
- 统计分析确定了影响报告的消毒行为因素.
主要成果:
- 76%的使用者报告说,在每次患者接触后,按照预期消毒EHMR.
- 消毒频率与增加的EHMR使用,培训召回和在重症监护机构工作有关.
- 只有36%的人报告使用集中清洁和消毒 (C&D),预期的地点的比例更高 (53%).
结论:
- 虽然以个人为基础的EHMR消毒是常见的,但标准化,集中式的C&D被低利用.
- 医疗保健机构应专注于改进标准化的C&D协议,以加强EHMR的实施.
- 在公共卫生危机期间,优化可重复使用呼吸器的使用可以减少对一次性N95呼吸器的依赖.
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