Gundermann K O
Abteilung Hygiene, Sozialhygiene, Universität Kiel.
Zentralbl Hyg Umweltmed. 1991 Mar;191(2-3):201-5.
Not least because of possible cost reduction ambulatory operations are being performed increasingly in hospitals and in accordingly equipped surgical practices. From the hygienic point of view infection control is just as important as with inpatients, i.e. requirement have to be the same in principle. This applies to constructional requirements, i.e. structure of operation areas including technical equipment and ventilation system, as well as to organizational requirements. On the other hand particularly operations in surgical practices have special features that have to be taken into account. One has to consider several factors like the lower probability of patients to be colonized by hospital specific bacteria, the as a rule relatively low number of operations and the small group of persons involved with operations, so that often staff discipline can be improved more easily than in big hospitals. Problems can arise with the supply of sterile goods, as facilities comparable to those of sterilization centers in hospitals are usually lacking. In these particular cases hygienically perfect solutions that consider all special features of a practice should be sought in cooperation with a hygienist.
尤其是考虑到可能降低成本，门诊手术在医院以及配备相应设施的外科诊所中越来越多地开展。从卫生角度来看，感染控制与住院患者的情况同样重要，也就是说原则上要求必须相同。这适用于建筑要求，即手术区域的结构，包括技术设备和通风系统，以及组织要求。另一方面，特别是外科诊所的手术有一些特殊情况必须予以考虑。必须考虑几个因素，比如患者被医院特定细菌定植的可能性较低、通常手术数量相对较少以及参与手术的人员群体较小，因此与大医院相比，员工纪律往往更容易得到改善。无菌物品的供应可能会出现问题，因为通常缺乏与医院消毒中心相当的设施。在这些特殊情况下，应与卫生学家合作，寻求考虑到诊所所有特殊情况的卫生完美解决方案。
