2017—2018年重庆市某口腔医院正畸科诊疗用水、正畸器械及医务人员卫生手污染状况
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摘要
目的了解重庆市某口腔医院正畸科诊疗用水、器械材料及医务人员卫生手的污染情况,为提高医疗机构口腔正畸科诊疗质量提供参考依据。方法 2017—2018年对重庆市某口腔医院正畸科口腔综合治疗台的诊疗用水、器械材料及医务人员卫生手进行抽样,监测微生物污染情况,结果参考《生活饮用水卫生标准》及《医院消毒卫生标准》进行评价。结果共采集口腔综合治疗台水样191份,总合格率为60.21%,其中口腔科冲洗水、手机喷水、储水罐水、漱口水和水源水的监测合格率分别为69.44%、50.00%、50.00%、62.50%及67.44%,5种类型诊疗用水的合格率比较,差异无统计学意义(P>0.05)。正畸科常用器械272份,其中钢丝筒的合格率为31.25%,医疗车抽屉的合格率为39.13%,托架、工具架、橡胶链、矫正弓丝及口包的合格率分别为40.00%、44.44%、59.52%、68.42%和83.33%,7种类型正畸器械的合格率比较,差异有统计学意义(P<0.05)。医务人员卫生手共计80份,其中医生的卫生手采样40份,合格率为55.00%;护士的卫生手采样40份,合格率为75.00%,医生和护士卫生手的合格率比较,差异无统计学意义(P>0.05)。结论重庆市某口腔正畸科诊疗用水、器械材料及医务人员卫生手需要采取更有效的措施预防和控制相关污染问题。
[Objective] To investigate the contamination of water,equipment materials and hygienic hands of medical staff in orthodontic department of an oral hospital in Chongqing,and provide reference for improving the quality of orthodontic treatment in medical institutions. [Methods]Sampling of water of treatment table,instrument materials and hygienic hands of medical personnel in the orthodontic department of an oral hospital in Chongqing were carried out to monitor the situation of microbial contamination from 2017 to 2018. The results were evaluated according to "Sanitary Standards for Drinking Water" and "Sanitation Standards for Hospital Disinfection". [Results] A total of 191 water samples were collected from the oral treatment table,with a total qualification rate of 60.21%,among which the monitoring qualification rates of oral cavity rinse water,mobile machine spray water,storage tank water,mouthwash water and source water were 69.44%,50.00%,50.00%,62.50% and 67.44%,respectively,with no significant difference in the qualified rate of water for 5 types of water(P>0.05). There were 272 commonly used orthodontic instruments,among which the qualified rate of steel tube was 31.25% and that of medical vehicle drawer was39.13%. The qualified rate of bracket,tool rack,rubber chain,orthodontic arch wire and mouth bag were 40.00%,44.44%,59.52%,68.42% and 83.33%,respectively. The difference in the qualified rate of 7 types of orthodontic devices was statistically significant(P<0.05). A total of 80 samples were collected from medical staff,including 40 samples from doctors,with a qualified rate of 55.00%. There were 40 samples of hygienic hands of nurses,and the qualified rate was 75.00%. There was no statistically significant difference between the qualified rate of hygienic hands of doctors and nurses(P >0.05). [Conclusion]More effective measures should be taken to prevent and control related pollution problems in water,equipment materials and hands of medical staff in an orthodontic department in Chongqing.
[Objective] To investigate the contamination of water,equipment materials and hygienic hands of medical staff in orthodontic department of an oral hospital in Chongqing,and provide reference for improving the quality of orthodontic treatment in medical institutions. [Methods]Sampling of water of treatment table,instrument materials and hygienic hands of medical personnel in the orthodontic department of an oral hospital in Chongqing were carried out to monitor the situation of microbial contamination from 2017 to 2018. The results were evaluated according to "Sanitary Standards for Drinking Water" and "Sanitation Standards for Hospital Disinfection". [Results] A total of 191 water samples were collected from the oral treatment table,with a total qualification rate of 60.21%,among which the monitoring qualification rates of oral cavity rinse water,mobile machine spray water,storage tank water,mouthwash water and source water were 69.44%,50.00%,50.00%,62.50% and 67.44%,respectively,with no significant difference in the qualified rate of water for 5 types of water(P>0.05). There were 272 commonly used orthodontic instruments,among which the qualified rate of steel tube was 31.25% and that of medical vehicle drawer was39.13%. The qualified rate of bracket,tool rack,rubber chain,orthodontic arch wire and mouth bag were 40.00%,44.44%,59.52%,68.42% and 83.33%,respectively. The difference in the qualified rate of 7 types of orthodontic devices was statistically significant(P<0.05). A total of 80 samples were collected from medical staff,including 40 samples from doctors,with a qualified rate of 55.00%. There were 40 samples of hygienic hands of nurses,and the qualified rate was 75.00%. There was no statistically significant difference between the qualified rate of hygienic hands of doctors and nurses(P >0.05). [Conclusion]More effective measures should be taken to prevent and control related pollution problems in water,equipment materials and hands of medical staff in an orthodontic department in Chongqing.
引文
[1]吴欣,季玉花,刘国元.口腔正畸治疗期间医院感染的临床分析[J].中华医院感染学杂志,2014,24(18):4596-4598.
[2]李俏,王文娟.微型种植体支抗在口腔正畸中的临床应用[J].中国基层医药,2013,20(22):3469-3471.
[3]徐泽.口腔正畸固定矫治器应用中牙釉质脱矿的临床调查研究[J].口腔医学,2013,33(9):604-606.
[4]洪达.口腔正畸结合修复治疗错伴牙列缺损探析[J].中国医学创新,2013,10(30):139-140.
[5]YUZAWAH,HIROSE Y,KIMURAT,et al.A case of cerebral tu-ber culomamimicing neuro cysticercosis[J].Acute MedSurg,2017,4(3):329-333.
[6]WILLIAMS JF,JOHNSTON AM,JOHNSON B,et al.Microbial contamination of dental unit waterlines:prevalence,intensity and microbiological characteristics[J].J Am Dent Assoc,1993,124(10):59-65.
[7]COLEMAN DC,O’DONNELL MJ,SHORE AC,et al.Biofilm problems in dental unit water systems and its practical control[J].J Appl Microbiol,2009,106(5):1424-1437.
[8]中华人民共和国卫生部.2002版《消毒技术规范》[S].北京:中国标准出版社,2002.17-19.
[9]中华人民共和国国家质量监督检验检疫总局.医院消毒卫生标准:GB 15982-2012[S].北京:中国标准出版社,2012:5-6.
[10]中华人民共和国卫生部.生活饮用水标准检验方法微生物指标:GB/T 5750.12-2006[S].北京:中国标准出版社,2006:1-2.
[11]中华人民共和国卫生部.生活饮用水卫生标准:GB 5749-2006[S].北京:中国标准出版社,2016:1-2.
[12]许慧来,王云波,李悦琦.口腔科综合诊疗椅水路污染状况及防止措施[J].中国消毒学杂志,2006,23(3):240-241.
[13]黄萍,廖瑞珍.口腔科手机使用后的清洗与消毒应用研究[J].护士进修杂志,2001,16(11):11-13.
[14]班海群,张宇,张流波.全国30所医院口腔科用水污染状况分析[J].中国消毒学杂志,2011,21(6):1094-1097.
[15]江宁,徐春华,田靓,等.上海市医疗机构口腔综合治疗台污染情况调查[J].中国消毒学杂志,2014,31(7):729-735.
[16]苏静,辛举鹏,黄凝,等.北京市三级综合医院口腔综合治疗台水路污染调查及改进措施探讨[J].中华医院感染学杂志,2017,27(16):3822-3825.
[17]周宏,郑伟,邓丽华,等.口腔综合治疗台水路污染监测及干预效果观察[J].中华医院感染学杂志,2013,23(7):1612-1613.
[18]覃迪生,文学锦,陈桂英,等.酸性氧化电位水用于口腔综合治疗台水路消毒的研究[J].广西医科大学学报,2014,31(5):805-806.
[19]陈绍山,柳志文.口腔综合治疗台水路污染现状和消毒的研究进展[J].临床口腔医学杂志,2016,32(9):571-573.
[20]黄妙琼,罗真珍,冯航.口腔正畸科治疗医院感染因素分析[J].热带医学杂志,2006,6(8):933-935.
[21]何红燕,林伟青,黄雪琴,等.手污染的控制与医院感染的预防[J].中华医院感染学杂志,2008,18(10):1407-1409.
[22]胡必杰,宗志勇.多重耐药菌感染控制最佳实践[M].上海:上海科学技术出版社,2012:17-18.
[23]谷继荣.环境及物体表面消毒在预防和控制医院感染中的作用[J].中国感染控制杂志,2012,11(3):231-235.
[24]王伟勇,袁玉兰,胡瑛岚,等.某驻疆医院物体表面及医护人员手卫生现状调查分析[J].解放军预防医学杂志,2016,34(3):357-359.
[2]李俏,王文娟.微型种植体支抗在口腔正畸中的临床应用[J].中国基层医药,2013,20(22):3469-3471.
[3]徐泽.口腔正畸固定矫治器应用中牙釉质脱矿的临床调查研究[J].口腔医学,2013,33(9):604-606.
[4]洪达.口腔正畸结合修复治疗错伴牙列缺损探析[J].中国医学创新,2013,10(30):139-140.
[5]YUZAWAH,HIROSE Y,KIMURAT,et al.A case of cerebral tu-ber culomamimicing neuro cysticercosis[J].Acute MedSurg,2017,4(3):329-333.
[6]WILLIAMS JF,JOHNSTON AM,JOHNSON B,et al.Microbial contamination of dental unit waterlines:prevalence,intensity and microbiological characteristics[J].J Am Dent Assoc,1993,124(10):59-65.
[7]COLEMAN DC,O’DONNELL MJ,SHORE AC,et al.Biofilm problems in dental unit water systems and its practical control[J].J Appl Microbiol,2009,106(5):1424-1437.
[8]中华人民共和国卫生部.2002版《消毒技术规范》[S].北京:中国标准出版社,2002.17-19.
[9]中华人民共和国国家质量监督检验检疫总局.医院消毒卫生标准:GB 15982-2012[S].北京:中国标准出版社,2012:5-6.
[10]中华人民共和国卫生部.生活饮用水标准检验方法微生物指标:GB/T 5750.12-2006[S].北京:中国标准出版社,2006:1-2.
[11]中华人民共和国卫生部.生活饮用水卫生标准:GB 5749-2006[S].北京:中国标准出版社,2016:1-2.
[12]许慧来,王云波,李悦琦.口腔科综合诊疗椅水路污染状况及防止措施[J].中国消毒学杂志,2006,23(3):240-241.
[13]黄萍,廖瑞珍.口腔科手机使用后的清洗与消毒应用研究[J].护士进修杂志,2001,16(11):11-13.
[14]班海群,张宇,张流波.全国30所医院口腔科用水污染状况分析[J].中国消毒学杂志,2011,21(6):1094-1097.
[15]江宁,徐春华,田靓,等.上海市医疗机构口腔综合治疗台污染情况调查[J].中国消毒学杂志,2014,31(7):729-735.
[16]苏静,辛举鹏,黄凝,等.北京市三级综合医院口腔综合治疗台水路污染调查及改进措施探讨[J].中华医院感染学杂志,2017,27(16):3822-3825.
[17]周宏,郑伟,邓丽华,等.口腔综合治疗台水路污染监测及干预效果观察[J].中华医院感染学杂志,2013,23(7):1612-1613.
[18]覃迪生,文学锦,陈桂英,等.酸性氧化电位水用于口腔综合治疗台水路消毒的研究[J].广西医科大学学报,2014,31(5):805-806.
[19]陈绍山,柳志文.口腔综合治疗台水路污染现状和消毒的研究进展[J].临床口腔医学杂志,2016,32(9):571-573.
[20]黄妙琼,罗真珍,冯航.口腔正畸科治疗医院感染因素分析[J].热带医学杂志,2006,6(8):933-935.
[21]何红燕,林伟青,黄雪琴,等.手污染的控制与医院感染的预防[J].中华医院感染学杂志,2008,18(10):1407-1409.
[22]胡必杰,宗志勇.多重耐药菌感染控制最佳实践[M].上海:上海科学技术出版社,2012:17-18.
[23]谷继荣.环境及物体表面消毒在预防和控制医院感染中的作用[J].中国感染控制杂志,2012,11(3):231-235.
[24]王伟勇,袁玉兰,胡瑛岚,等.某驻疆医院物体表面及医护人员手卫生现状调查分析[J].解放军预防医学杂志,2016,34(3):357-359.