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目的探讨更完善有效的尘肺肺泡灌洗院内感染的控制方法。方法气管镜室与医院感染管理科联合,把尘肺肺泡灌洗的院内感染控制作为每月质量监测的内容,通过对深圳市职业病防治院2012年6—12月的193例肺泡灌洗的患者从多个环节进行院内感染控制,与2011年3月—2012年5月的193例肺泡灌洗患者进行对照,分析实施院内感染控制前后尘肺肺泡灌洗患者和医务人员院内感染情况、内镜监测情况,探讨更完善的院内感染控制方法。结果实施院内感染控制后,内镜监测的合格率(内镜内腔100%,内镜表面100%)高于控制前(内镜内腔92.2%,内镜表面88.1%),实施院内感染控制后,医务人员无发生院内感染,低于控制前发生率(1.81%),患者院内感染发生率(1.03%)低于控制前(6.21%),差异均有统计学意义(P<0.01或P<0.05)。结论完善后的尘肺肺泡灌洗的院内感染控制方法,能有效降低院内感染的发生率,提高内镜监测的合格率,更好保证尘肺患者和医务人员的健康。
Objective To explore a more complete and effective pneumoconiosis laparoscopic nosocomial infection control methods. Methods The bronchoscopy room and hospital infection management department were combined to control the nosocomial infection of pneumoconiosis lavage as the content of monthly quality monitoring. From 193 cases of alveolar lavage from June 2012 to December 2012 in Shenzhen Occupational Disease Prevention and Treatment Hospital, Nosocomial infection control in many aspects, and from March 2011 to May 2012 193 cases of alveolar lavage were compared, analysis of nosocomial infection control before and after pneumoconiosis lavage patients and medical staff in-hospital infections, endoscopic surveillance , To explore a more comprehensive method of nosocomial infection control. Results After the nosocomial infection control, the qualified rate of endoscopic surveillance (100% of the endoscopic cavity and 100% of the endoscopic surface) was higher than that before the control (92.2% of the endoscopic cavity and 88.1% of the endoscopic surface), and the nosocomial infection control (1.81%), nosocomial infection rate (1.03%) was lower than that before control (6.21%), the difference was statistically significant (P <0.01 or P <0.05). Conclusion The improved pneumoconiosis lavage nosocomial infection control method can effectively reduce the incidence of nosocomial infections and improve the pass rate of endoscopic surveillance to better ensure the health of pneumoconiosis patients and medical staff.