文章摘要
前馈控制对消毒供应中心洗消合格率及骨科手术患者切口感染率的影响
Effect of feedforward control measures on the qualified rate of disinfection and decontamination in disinfection supply the infection rate of incision in patients undergoing orthopedic surgery center and
  
DOI:10.3969/j.issn.1007-8134.2019.05.014
中文关键词: 前馈控制  骨手术患者  消毒供应中心  医院感染
英文关键词: feedforward control  patients undergoing orthopedic surgery  sterilization supply centre  nosocomial infection
基金项目:国家自然科学基金(81802634)
作者单位
文其武 中国人民解放军南部战区总医院卫勤部 
肖 庆 中国人民解放军南部战区总医院卫勤部 
罗茂华 中国人民解放军南部战区总医院卫勤部 
汪 君 中国人民解放军南部战区总医院卫勤部 
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中文摘要:
      目的 探讨实施前馈控制措施对医院消毒供应中心洗消合格率及骨科手术患者切口感染率的影响。方法 比较我院消毒供应中心实施前馈控制措施前后,洗消合格率以及骨科手术患者切口感染率的变化。结果 实施前馈控制措施前后,医疗器械的采样合格率分别为86.02%和95.15%,清洗合格率分别为86.50%和97.50%,包装合格率分别为88.50%和95.50%,发放合格率分别为93.50%和96.50%,物品丢失率分别为0.93%和0.19%,差异均具有统计学意义(P均<0.05)。实施前馈控制措施前后骨科手术患者切口感染率分别为5.00%和1.00%(P<0.05)。实施前馈控制措施前后共检出病原菌29株,其中革兰阴性菌占58.62%,革兰阳性菌占41.38%。结论 前馈控制能够明显提高消毒供应中心医护工作人员的工作效率,发挥很好的预防控制作用,在一定程度上降低骨手术患者感染的风险。
英文摘要:
      Objective To explore the effect of feedforward control measures on the qualified rate of disinfection and decontamination in hospital disinfection supply center and the incision infection rate in patients undergoing orthopedic surgery. Methods Before and after feedforward control measures were implemented in disinfection supply center of our hospital, the qualified rate of disinfection and decontamination and the incision infection rate in patients undergoing orthopedic surgery were compared. Results Before and after the implementation of feedforward control measure, the qualified rate of medical device sampling was 86.02% and 95.15%, the qualified rates of cleaning, packaging and distribution were 86.50% and 97.50%, 88.50% and 95.50%, 93.50% and 96.50%, respectively, and the goods loss rate was 0.93% and 0.19%, respectively, the difference was statistically significant (P<0.05). The infection rate of incision in patients was 5.00% before feedforward control and 1.00% after feedforward control (P<0.05). Before and after the implementation of feedforward control measure, 29 strains of pathogenic bacteria were detected, including Gram-negative bacteria (58.62%) and Gram-positive bacteria (41.38%). Conclusions Feedforward control can obviously enhance the work efficiency of medical staff in the disinfection supply center, play a good role in prevention and control, and reduce the risk of infection in patients undergoing orthopedic surgery.
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