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手术室环境表面卫生:降低医院感染传播的策略。

Environmental Surface Hygiene in the OR: Strategies for Reducing the Transmission of Health Care-Associated Infections.

出版信息

AORN J. 2020 Oct;112(4):327-342. doi: 10.1002/aorn.13175.

DOI:10.1002/aorn.13175
PMID:32990964
Abstract

Health care-associated infections (HAIs) cost billions of dollars annually in the United States and cause patient morbidity and mortality. There is increasing evidence that environmental surfaces in the OR setting, including anesthesia work areas, can harbor pathogens that can lead to HAIs. Patient-care equipment used routinely in the OR, such as electrocardiograph wires, blood pressure cuffs, pulse oximetry probes, and monitor cables, can become contaminated with pathogens during surgical procedures; without proper cleaning and disinfection between procedures, these items pose a risk for pathogen transmission and subsequent patient infections. This article discusses the association between contaminated surfaces in the OR and the risk for HAIs. It is essential that perioperative nurses, environmental services personnel, anesthesia technicians, and anesthesia professionals properly disinfect environmental surfaces to prevent HAIs.

摘要

在美每年医疗保健相关感染(HAIs)耗费数十亿美元,并导致患者发病率和死亡率上升。越来越多的证据表明,手术室环境表面,包括麻醉工作区,可能藏匿病原体,从而导致 HAI。手术过程中,患者护理设备(如心电图线、血压袖带、脉搏血氧仪探头和监护器电缆)会被病原体污染;如果在手术之间不进行适当的清洁和消毒,这些物品就会存在病原体传播和随后的患者感染的风险。本文讨论了手术室中污染表面与 HAI 风险之间的关联。围手术期护士、环境服务人员、麻醉技术员和麻醉专业人员必须正确消毒环境表面,以预防 HAI。

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