某地區醫院病房退藥藥品外包裝污染率調查分析

針對病房退藥做藥品外包裝污染率的檢驗，與所檢測各類型藥品外包裝的污染率、各病房退藥污染菌的菌種分佈、抗藥性及停留天數與污染率關係作逐一探討。本研究的執行方式爲隨機抽出病房退藥並同時加入對照組樣本做採菌實驗，一個月之內共檢測237個樣本、（40件未送出藥局之藥品外包裝、157件爲病房退藥藥品外包裝、40件爲退回藥局後再消毒之藥品外包裝），結果顯示平均病房退藥藥品外包裝污染率高達54.3%，不同的藥物包裝，有不同的污染率，夾鏈袋包裝的污染率(71.4%)及自動包藥機的污染率(43.6%)具有統計學上的差異（P值＝0.036），而各病房的退藥污染率並無統計學上差異。另外，藥袋平均污染率隨著停留病房天數增加而有上升趨勢。保持環境衛生整潔，加強人員洗手，重複藥袋（夾鏈袋）應消毒以減少藥袋污染。不只是在病房的醫護人員需該注意院內交叉感染的問題，醫院藥局的工作人員經由相關的隔離消毒措施也能幫助醫院的院內感染控制，減少病原菌數量和中止其擴散。

關鍵字

退藥；包裝；退藥污染率

並列摘要

In order to understand the severity of contamination of the outer surface of medication package returned from the wards, we cultured 237 samples of returned medication package and control medication package at a local hospital in Taiwan during one-month study period. The results showed that the contamination rate of outer surface of returned medication package was 54.3% The zipped plastic medication bag had a higher contamination rate of 71.4% and the automated packed medication bag had a lower contamination rate of 43.6% (p=0.036). There was no significant difference of the contamination rate among the package from different wards. The longer the medication stayed in the ward, the higher the rate of contamination. To keep the environment clean and handle all medication dispensing with clean hands to prevent the contamination of those medication package probably is important.

並列關鍵字

Returned medication package ； contamination ； ward

國際替代計量

某地區醫院病房退藥藥品外包裝污染率調查分析

全文下載

主題瀏覽