Morgan D R, Lamont T J, Dawson J D, Booth C
Professional and Scientific Division, British Medical Association, London.
BMJ. 1990 May 26;300(6736):1379-80. doi: 10.1136/bmj.300.6736.1379.
To assess the effectiveness of decontamination procedures in general practice.
Anonymous postal questionnaire survey of 600 general practitioners randomly selected from the national register.
General practices throughout the United Kingdom.
382 General practitioners, a response rate of 65%.
186 General practitioners had autoclaves but 125 used hot water disinfectors or chemical disinfectants to reprocess instruments. 22% (474/2132) Of high risk instruments were inadequately decontaminated. Decontamination was performed by the practice nurse or receptionist in 306 practices. Knowledge of treatment of spillages of blood fluids was uncertain, and only 114 general practitioners used effective methods for dealing with spillages.
A comprehensive central code of practice for control of infection is needed for primary health care staff.
评估全科医疗中去污程序的有效性。
从国家登记册中随机抽取600名全科医生进行匿名邮寄问卷调查。
英国各地的全科医疗诊所。
382名全科医生，回复率为65%。
186名全科医生有高压灭菌器，但125名使用热水消毒器或化学消毒剂对器械进行再处理。22%（474/2132）的高风险器械去污不充分。在306家诊所中，去污工作由实习护士或接待员进行。对血液液体溢出处理的知识不确定，只有114名全科医生使用有效的方法处理溢出物。
基层医疗保健人员需要一个全面的感染控制中央操作规范。
