口腔诊室鼠标垫污染情况及干预措施研究
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江苏省医院协会医院管理创新研究课题(JSYGY-3-2024-180);江苏省卫生健康委员会预防医学课题面上项目(Ym2023005);南京市科学技术协会"软科学研究"项目(2023-26)


Contamination of mouse pads in dental clinics and its intervention measures
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    摘要:

    目的 了解口腔诊室布面鼠标垫污染现状,为规范口腔诊室环境物体表面消毒和科学干预提供理论依据。方法 采用三磷酸腺苷(ATP)荧光检测法、目测法和细菌培养法调查5个口腔诊室布面鼠标垫污染现状,比较紫外线消毒法和两种消毒湿巾擦拭消毒对布面鼠标垫和光伏玻璃鼠标垫的消毒效果,采取干预措施(使用光伏玻璃鼠标垫并定期清洁消毒),比较干预前后各科室鼠标垫污染情况。结果 基线调查发现不同口腔诊室鼠标垫污染情况不同,牙体牙髓病科鼠标垫细菌培养法合格率最低,为20.00%,牙周病科其次,为30.00%。两种消毒湿巾对光伏玻璃鼠标垫擦拭消毒后与擦拭消毒前ATP检测值比较,差异均有统计学意义(均P<0.001)。使用光伏玻璃鼠标垫后,5个口腔诊室鼠标垫污染情况缓解,ATP检测合格率提升(>80%),与干预前ATP检测合格率相比,差异均有统计学意义(均P<0.001)。结论 口腔诊室布面鼠标垫污染情况严重,传统布面鼠标垫难以清洁消毒,建议医疗机构更换便于清洁消毒的鼠标垫,并明确消毒方式和消毒频率以控制鼠标垫污染。

    Abstract:

    Objective To investigate the contamination status of cloth mouse pads in dental clinics, and provide theoretical basis for standardizing environmental surface disinfection and scientific intervention in dental clinics. Methods The contamination status of cloth mouse pads in 5 dental clinics were investigated by adenosine triphosphate (ATP) fluorescence detection method, visual observation method, and bacterial culture method. Disinfection efficacy of ultraviolet disinfection method and wiping disinfection using two types of disinfectant wipes on cloth mouse pads and photovoltaic glass mouse pads was compared. Intervention measures (using photovoltaic glass mouse pads, regular cleaning and disinfecting) were taken, and contamination status of cloth mouse pads in different departments before and after intervention was compared. Results The baseline investigation found that the conta-mination status of mouse pads varied in different dental clinics. The qualified rate of bacterial culture of mouse pads in department of endodontics was the lowest (20.00%), followed by the department of periodontology (30.00%). There was statistically significant difference in ATP detection values between two types of disinfectant wipes before and after wiping and disinfecting photovoltaic glass mouse pads (both P<0.001). After using photovoltaic glass mouse pads, the contamination of mouse pads in 5 dental clinics was alleviated, and the qualified rate of ATP detection increased (>80%), compared with qualified rate of ATP detection before intervention, differences were all statistically significant (all P<0.001). Conclusion The contamination of the cloth mouse pads in dental clinics is serious, and the conventional cloth mouse pad is difficult to be cleaned and disinfected. It is suggested that medical institutions use the mouse pad which is convenient for cleaning and disinfection, and specify the disinfection method and frequency to control the contamination of the mouse pads.

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卢策,任红润,李淑媛,等.口腔诊室鼠标垫污染情况及干预措施研究[J]. 中国感染控制杂志,2025,24(6):789-794. DOI:10.12138/j. issn.1671-9638.20256725.
LU Ce, REN Hongrun, LI Shuyuan, et al. Contamination of mouse pads in dental clinics and its intervention measures[J]. Chin J Infect Control, 2025,24(6):789-794. DOI:10.12138/j. issn.1671-9638.20256725.

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  • 收稿日期:2024-07-29
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  • 在线发布日期: 2025-06-24
  • 出版日期: 2025-06-28