新生儿重症监护室的清洁和消毒:评估方法的相关性
Maria Heloisa Silva1, Aires Garcia Dos Santos Junior1, André Luiz Silva Alvim2
1Universidade Federal do Mato Grosso do Sul. Três Lagoas, Mato Grosso do Sul, Brazil.
Revista brasileira de enfermagem
|September 3, 2025
概括
新生儿重症监护室的表面清洁和消毒监测方法各不相同. 腺三酸盐 (ATP) 的值不同,影响了这些重症监护环境中的卫生评估.
科学领域:
- 预防与医疗相关的感染
- 微生物学
- 新生儿重症监护
背景情况:
- 在新生儿重症监护室 (NICU) 中,有效的表面清洁和消毒对于预防医疗相关感染至关重要.
- 监测卫生实践的有效性对于患者的安全至关重要.
- 腺三酸盐 (ATP) 生物发光测试通常用于评估表面的清洁性.
研究的目的:
- 将不同的表面清洁和消毒监测方法关联起来.
- 为了比较两个NICU的腺三酸盐 (ATP) 值.
- 评估新生儿卫生方案的有效性.
主要方法:
- 进行了一项相关性研究,涉及864项评估.
- 方法包括ATP量化,视觉检查,有氧殖民地计数,金黄色葡萄球菌检测和耐药性测试.
- 在卫生程序之前和之后进行评估.
主要成果:
- 监测方法之间的相关性因单位和评估领域而异.
- 在A单元中,发现了殖民地数量和黄金葡萄球菌 (计数器) 以及ATP和殖民地数量 (化器) 之间的相关性.
- 在B单元中,ATP和殖民地数量 (输注) 之间存在相关性. 在A单元的ATP值为<28个相对光单位 (RLU),而在B单元的ATP值为<38个RLU.
结论:
- 在不同NICU的卫生监测方法之间的相关性存在显著差异.
- 对于可接受的表面干净度的腺三酸盐 (ATP) 值在NICU之间有所不同.
- 这些发现凸显了对卫生监测和消毒方案的单位具体优化需求.
相关概念视频
Cleaning, Sterilization, and Disinfection
7.3K
Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
7.3K
Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
Hand hygiene
4.0K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
4.0K
Methods of Sterilization II: Chemical Methods
6.9K
In healthcare, the chemical method of sterilization uses chemical sterilants to treat surgical instruments and medical supplies to help prevent the transmission of infectious pathogens to patients. Due to heat sensitivity, most medical supplies and equipment should not be exposed to high temperatures. These parts include rubber, plastic, glass, and other similar elements.
Using chemical sterilization rather than heat to clean out equipment is recommended. It eradicates and removes all bacteria,...
Using chemical sterilization rather than heat to clean out equipment is recommended. It eradicates and removes all bacteria,...
6.9K
Methods of Sterilization I: Physical Methods
20.8K
As used in a healthcare facility, sterilization destroys all microorganisms through physical or chemical methods. The physical method includes steam, dry heat, boiling water, and radiation.
Steam sterilization uses non-toxic, low-cost moist heat in the form of saturated steam under pressure, which is fast, microbicidal, and sporicidal, and quickly warms and penetrates fabrics. Autoclaves, or steam sterilizers, expose each item to direct steam contact for a predetermined time at the necessary...
Steam sterilization uses non-toxic, low-cost moist heat in the form of saturated steam under pressure, which is fast, microbicidal, and sporicidal, and quickly warms and penetrates fabrics. Autoclaves, or steam sterilizers, expose each item to direct steam contact for a predetermined time at the necessary...
20.8K
Antimicrobial Effectiveness
156
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
156


