配制容器消毒次数对浓缩B液染菌量的影响研究
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陈海红

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R459.5

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Effect of disinfection frequency of dispensing container on bacterial contamination of concentrated B solution
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    摘要:

    目的通过对透析浓缩液B液菌落数超标原因进行分析,采取有效干预措施,同时对B液进行细菌学监测,以期降低血液透析患者感染风险。方法根据某院2011年11月—2012年5月浓缩液B液微生物监测结果,采取积极改进措施,改变B液配制容器消毒次数及使用中加盖,按采取的不同措施将研究对象分为4组(A组:2次/周消毒且使用中加盖;B组:2次/周消毒;C组:1次/周消毒; D组:1次/2周消毒),每月对B液进行细菌学监测,对干预前后各组情况进行比较。结果A、B、C、D组B液染菌量分别为(25.41±15.08)、(28.24±28.04)、(68.58±22.58)、(75.25±26.63)CFU/mL,各组间B液染菌量比较,差异有统计学意义(F=79.00,P<0.01);干预后,A、B、C各组B液染菌量均低于干预前D组,差异均有统计学意义(均P<0.01),其中A组B液染菌量最低。A组合格率为100.00%, B、C、D组B液不合格率分别为13.95%、24.24%、35.94%。各组不合格率比较,差异有统计学意义(χ2=28.70,P<0.01),干预后A、B、C组不合格率低于D组。结论血液透析浓缩B液在配制后24 h内使用,浓缩液配制容器进行2次/周的消毒,B液在透析中加盖使用,可以有效控制B液染菌量在标准范围内。

    Abstract:

    ObjectiveTo reduce infection risk in hemodialysis patients through analyzing the  causes of over standard colony forming unit(CFU) and conducting bacteriological detection of  hemodialysis concentrated B solution. MethodsAccording to microbial monitoring results of hemodialysis concentrate B solution  in a hospital between November 2011 and May 2012, disinfection frequency of B solution was changed and dispensing container was covered during the process of using, four groups were divided according to different measures (group A disinfected  twice a week, covered during the process of using; group B  twice a week; group C once a week; group D once every two weeks), monthly bacteriological detection of B solution was conducted, condition before and after disinfection of four groups were compared. ResultsBacterial count in group A, B  ,C and D was(25.41±15.08),(28.24±28.04),(68.58±22.58),and (75.25±26.63)CFU/mL, respectively (F=79.00,P<0.01); bacterial count of group A, B, and C after intervention were all lower than group D before intervention  (all P<0.01),bacterial count of group A and B was the lowest. The qualified rate of group A was 100.00%, the unqualified rate of group B,C, and D was 13.95%,24.24%, and 35.94% respectively(χ2=28.70,P<0.01),the unqualified  rates of group A, B, and C after intervention were all lower than group D. ConclusionHemodialysis concentrated B solution  should be  used within 24 hours after preparing,  disinfected twice a week, and  covered during the process of using , so as to control B solution colony number within the standard level.

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陈海红,高雪芬,梁桢,等.配制容器消毒次数对浓缩B液染菌量的影响研究[J]. 中国感染控制杂志,2015,14(3):188-191. DOI:10.3969/j. issn.1671-9638.2015.03.010.
CHEN Haihong, GAO Xuefen, LIANG Zhen, et al. Effect of disinfection frequency of dispensing container on bacterial contamination of concentrated B solution[J]. Chin J Infect Control, 2015,14(3):188-191. DOI:10.3969/j. issn.1671-9638.2015.03.010.

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  • 收稿日期:2014-07-02
  • 最后修改日期:2014-11-12
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  • 在线发布日期: 2015-03-30
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