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医疗机构环境表面的清洁质量是医院相关性感染(HAIs)预防与控制的基础。污染的环境表面是易感患者获得病原微生物感染的重要来源,改善环境表面清洁质量,可以有效终止HAIs的暴发,降低感染的发生率,强化的终末消毒能减少多重耐药菌和艰难梭菌垂直传播10%~30%的发生率。而一个不当的环境清洁不仅不能清除表面的污染物与病原微生物,甚至会造成环境表面的二次污染。国家卫生计生委于2016年年底发布《医疗机构环境表面清洁与消毒管理规范》,本文就该规范对临床护理的重要性,从管理要求、清洁与消毒原则、日常清洁与消毒、强化清洁与消毒、清洁工具复用处理等方面进行重点解读,便于临床护理人员的参照执行。各级各类医疗机构应高度重视环境清洁,提高对本规范的执行力与依从性,为广大的患者提供清洁而安全的诊疗环境。
The cleanliness of the environmental surfaces of medical facilities is the foundation for the prevention and control of hospital-related infections (HAIs). Contaminated environmental surfaces are an important source of pathogenic microbial infections in susceptible patients, improving the quality of environmental surface cleaning, effectively ending HAIs outbreaks and reducing the incidence of infections, and enhanced end-of-life disinfection reduces multi-drug resistant bacteria and C. difficile Vertical transmission of 10% to 30% of the incidence. An improper environmental cleaning not only can not clear the surface of the pollutants and pathogenic microorganisms, and even cause environmental pollution of the secondary surface. In the end of 2016, the National Health and Family Planning Commission released the “Guidelines for the Management of Environmental Surface Cleaning and Disinfection of Medical Institutions”. In this paper, the importance of this standard for clinical nursing is discussed in terms of management requirements, principles of cleaning and disinfection, daily cleaning and disinfection, intensive cleaning and disinfection , Reuse of cleaning tools and other aspects of key interpretation, to facilitate the clinical nurses reference implementation. Various types of medical institutions at all levels should attach great importance to environmental cleanliness, improve the implementation of this code and compliance, for the majority of patients with clean and safe treatment environment.