重症监护病房中高接触临床表面污染情况的评估
Assessment of Soiling on Highly Touched Clinical Surfaces in Intensive Care Units.
作者信息
Luiz Silva Alvim André, Guerra Pimenta Fabiana, da Conceição Oliveira Coelho Angélica, da Costa Carbogim Fábio, de Abreu Varoto Adriely, Menis Ferreira Adriano, Moretti Carneiro Liliane, Garcia Dos Santos Junior Aires, de Andrade Denise, Francisco Lopes de Sousa Álvaro
机构信息
Department of Applied Nursing, Nursing School, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil.
Department of Nursing, Nursing School, Centro Universitário UNA, Contagem, Brazil.
出版信息
Florence Nightingale J Nurs. 2023 Oct;31(3):188-193. doi: 10.5152/FNJN.2023.23027.
AIM
The aim of this study is to evaluate highly touched clinical surfaces using visual inspection methods and adenosine triphosphate by bioluminescence to identify soiling in intensive care units.
METHOD
Descriptive, cross-sectional study carried out in three intensive care units located in Belo Horizonte, MG, Brazil. Data collection included 142 assessments of environmental surfaces. For data analysis, the Pareto diagram and descriptive statistics were used through measures of central tendency.
RESULTS
The visual inspection identified dirtiness in the infusion pump, alcohol dispenser, and telephone. The surface that showed a high level of contamination by organic matter identified by the adenosine triphosphate bioluminescence test was the telephone, with a median of 1012 RLU/cm2 (±348.8).
CONCLUSION
The surface evaluation methods used in the intensive care units made it possible to identify dirt on surfaces highly touched by hands, reinforcing the need for investments in training and audits in the process of cleaning and disinfecting surfaces.
目的
本研究旨在通过目视检查方法和生物发光法检测三磷酸腺苷，以评估重症监护病房中频繁接触的临床表面的污染情况。
方法
在巴西米纳斯吉拉斯州贝洛奥里藏特市的三个重症监护病房开展描述性横断面研究。数据收集包括对142个环境表面的评估。数据分析采用帕累托图和通过集中趋势测量的描述性统计方法。
结果
目视检查发现输液泵、酒精 dispenser 和电话有污垢。通过三磷酸腺苷生物发光测试确定的有机物污染程度较高的表面是电话，中位数为1012相对光单位/平方厘米（±348.8）。
结论
重症监护病房使用的表面评估方法能够识别手部频繁接触的表面上的污垢，这凸显了在表面清洁和消毒过程中进行培训和审核投资的必要性。
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