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醫院環境清潔消毒之監測

Surveillance of Environmental Cleaning in Hospitals

摘要


醫院的環境清潔及消毒是降低抗藥性細菌移生並維護病人安全的重要步驟之一,然而院方是否有良好制度來監測環境清潔的完整性與清潔度,往往受到忽略。本文旨在介紹環境清潔消毒與院內感染的關聯性,以及各種評估環境清潔的方法,包括目視檢查法、螢光標記法、微生物培養法、三磷酸腺苷生物冷光反應法,並比較不同監測方法的優劣。

並列摘要


Well cleaning of the hospital environment is one of the important interventions to reduce the burden of multidrug-resistant organisms and protect the patient safety. However, the optimal methods to evaluate the results of environmental cleaning remain unclear. This article discusses the association between environmental cleaning and nosocomial infection, and introduces and compare the available methods to evaluate the results of environment cleaning, including visual inspection, microbiological culture methods, and adenosine triphosphate bioluminescence assay.

參考文獻


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Drees M, Snydman DR, Schmid CH, et al: Antibiotic exposure and room contamination among patients colonized with vancomycin- resistant enterococci. Infect Control Hosp Epidemiol 2008;29:709-15."
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Dickstein Y, Edelman R, Dror T, et al: Carbapenem-resistant Enterobacteriaceae colonization and infection in critically ill patients: a retrospective matched cohort comparison with non-carriers. J Hosp Infect 2016;94:54-9."

被引用紀錄


張朔衽、謝馥蓮、陳淑絹、李雅文(2021)。提升康復病房抽痰壓力表採檢培養合格率彰化護理28(3),65-78。https://doi.org/10.6647/CN.202109_28(3).0009
邱靜怡、黃惠珠、黃怡華、林怡君(2020)。運用5S降低血液透析室環境菌落數不合格率志為護理-慈濟護理雜誌19(5),84-96。https://www.airitilibrary.com/Article/Detail?DocID=16831624-202010-202010270008-202010270008-84-96

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