医疗感染控制手术室护理实践指南动态

医疗感染控制汇报人：XXX

INFECTED低温灭菌规范技术

医疗感染控制手术室护理实践指南guidetonursingpracticeinmedicalinfectioncontroloperatingroompracticeinmedicalinfectioncontrol医疗感染控制据美国CDC统计，每年发生约50万例手术部位感染，在我国SSI居医院感染的第三位外科主要的医院感染。2005年12月11日，安徽省宿州市某医院发生10例接受白内障手术治疗的患者眼球医源性感染医院感染医源性感染手术部位感染2005年12月11日，安徽省宿州市某医院发生10例接受白内障手术治疗的患者眼球医源性感染据美国CDC统计，每年发生约50万例手术部位感染，在我国SSI居医院感染的第三位管理混乱其中9名患者单侧眼球被摘除的恶性医疗损害事件。经调查，该起恶性医疗损害事件是由于医院管理混乱感染所致违法、违规与非医疗机构合作，严重违反诊疗技术规范，造成手术患者的医源性感染所致。灭菌不合格该事件性质恶劣后果严重，社会影响极坏。直接原因：10例手术器械，9例未经压力蒸汽灭菌，而采取了浸泡灭菌不合格。1998年4月1日～5月31日共手术292例，发生切口感染166例。切口部位开始为小结节切口感染继而化脓成窦道，有线头挟出。清创换药后创面清洁但不愈合，或愈合后又复发愈合后又复发并有淋巴结炎倾向。结论：戊二醛浓度错配导致手术器械分支杆菌污染，从而引起切口感杆菌污染医疗感染控制医疗感染西安交通大学医学院第一附属医院新生儿科发生医院感染9名新生儿死亡。天津市蓟县妇幼保健院发生新生儿医院感染事件，6例重症感染患儿中5例患儿死亡。医疗感染山西省太原公交公司职工医院、山西煤炭中心医院47名血透患者中20名患者感染丙肝。医疗感染安徽霍山县医院58名血透患者中28名患者感染丙肝。甘肃、江苏、安徽的安庆和寿县、广东医疗感染云南、吉林相继发现血液透析患者感染丙肝。山西临汾尧都区眼科医院共进行了１５例白内障手术对于手术器械又是怎样消毒灭菌的我们身边是否存在这样的感染事件不仅可杀死一般的细菌用高温加高压灭菌真菌等微生物，对芽胞医疗感染控制A高压灭菌用高温加高压灭菌，B杀灭效果不仅可杀死一般的细菌真菌等微生物，对芽胞孢子也有杀灭效果是最可靠、应用最普遍的物理灭菌法。C药物的灭菌主要用于能耐高温的物品药物的灭菌如培养基、金属器械玻璃、搪瓷、敷料、橡胶及一些药物的灭菌。适用范围基本概念器械与物品用来处理不耐受湿热的医疗器械与物品，主要用于不耐高温的物品。医疗感染控制低温灭菌技术的目的（了解）常见的低温灭菌方法（了解）理想的低温灭菌应具备的特征（熟悉）常用的低温灭菌方法及注意事项（掌握）医疗感染控制为低温灭菌提供指导性意见01规范低温灭菌技术02过氧化氢低温等离子灭菌03低温甲醛蒸汽灭菌04过氧化氢低温等离子灭菌低温甲醛蒸汽灭菌环氧乙烷气体灭菌过氧乙酸灭菌孢子也有杀灭效果，是最可靠、应用最普遍的物理灭菌法。品牌材料兼容性产品环氧乙烷气体灭菌营销过氧化氢低温等离子灭菌环氧乙烷气体灭菌过氧化氢低温等离子灭菌医疗感染控制010203添加标题眼睛接触眼睛接触液态或高浓度环氧乙烷，管腔类器械同时脱去污染衣物超过厂家灭菌使用说明范围以外的管腔类器械用水冲洗用水冲洗接触处至少15min，适用于生产厂商推荐为首选灭菌方法的产品。眼睛接触液态或高浓度环氧乙烷中毒现场过度接触迅速移出中毒现场皮肤接触用水冲洗接触处至少15min同时脱去污染衣物尽快就诊医疗感染控制植物纤维素类，如布、纸张等。有盲端的管腔类器械。液体类，如水、石蜡油等。超过厂家灭菌使用说明范围以外的管腔类器械。粉剂类，如滑石粉。遵循厂家的操作使用说明书准备期灭菌期解析期医疗感染控制选择正确的包装、灭菌方法有利于延长器械的使用寿命，降低医疗成本。认真做好监测，确保物品灭菌达标。遵循先清洗后消毒及标准预防的原则，才能成功灭菌。护理服务总之，只有做好每一个细节，才能更有效地避免感染的发生为患者提供更加放心、安心的护理服务。医疗感染控制汇报人：XXXINFECTED低温灭菌规范技术

医疗感染控制手术室护理实践指南guidetonursingpracticeinmedicalinfectioncontroloperatingroompracticeinmedicalinfectioncontrol医疗护理PPT模板Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.适用于工作汇报/会议报告/个人竞聘/述职报告/比赛汇报人：xxx添加相关标题Eventplanningisaneffectivebehaviortoincreasemarketshare.添加相关标题Eventplanningisaneffectivebehaviortoincreasemarketshare.添加相关标题Eventplanningisaneffectivebehaviortoincreasemarketshare.添加相关标题Eventplanningisaneffectivebehaviortoincreasemarketshare.目录CONTENTS此处添加相关标题点击此处添加相关主要内容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

01此处添加相关标题Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加标题Eventplanningisaneffectivebehaviortoincreasemarketshare.Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.

添加标题添加标题关键词添加副标题Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此处添加相关标题Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加标题Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加标题Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加标题Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加标题Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加标题关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.医疗健康此处添加相关标题点击此处添加相关主要内容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

02Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.关键词添加副标题Audiencecrowd:Universitystudentswhoarerequiredbytheteachertodemonstratethecurriculum.Newcomerswhowanttostandoutfromthecompetitionjustaftergraduation.Needtousethedemonstrationtoenhancethepersuasiveworkman.85%KEYWORDS此处添加相关标题010203Eventplanningisaneffectivebehaviortoincreasemarketshare.添加标题Eventplanningisaneffectivebehaviortoincreasemarketshare.添加标题Eventplanningisaneffectivebehaviortoincreasemarketshare.添加标题此处添加相关标题关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词添加副标题关键词添加副标题Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此处添加相关标题01020304关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.此处添加相关标题点击此处添加相关主要内容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

03此处添加相关标题关键词Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.关键词Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.关键词Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.关键词Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此处添加相关标题2020202220242026专业团队专属定制Audiencecrowd:Universitystudentswhoarerequiredbytheteachertodemonstratethecurriculum.Newcomerswhowanttostandoutfromthecompetitionjustaftergraduation.Needtousethedemonstrationtoenhancethepersuasiveworkman.此处添加相关标题添加标题添加标题关键词专业团队专属定制Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词专业团队专属定制Eventplanningisaneffectivebehaviortoincreasemarketshare.此处添加相关标题点击此处添加相关主要内容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

04此处添加相关标题Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词标题Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此处添加相关标题关键词Eventplanningisaneffectivebehaviortoincreasemarketshare.关键词Eventplanning