Kev saib xyuas kev tu cev hauv tsev kho mob tshuaj tua kab mob thiab ua kom tsis muaj menyuam yog ib txoj hauv kev zoo los nrhiav cov teeb meem.Nws yog ib feem tseem ceeb ntawm lub tsev kho mob soj ntsuam kab mob ntsuas qhov system thiab ib qho ntawm cov ntsiab lus yuav tsum tau kuaj xyuas hauv tsev kho mob qib tshuaj xyuas.Txawm li cas los xij, kev tswj hwm kev ua haujlwm niaj hnub feem ntau muaj teeb meem los ntawm qhov no, tsis hais txog Kev Saib Xyuas cov txheej txheem, cov ntaub ntawv siv, cov txheej txheem kev ua haujlwm thiab cov ntawv qhia txog cov txiaj ntsig, thiab lwm yam, tsuas yog lub sijhawm thiab zaus ntawm kev saib xyuas zoo li yog lub ntsiab lus tseem ceeb hauv tsev kho mob.
Lub hauv paus: Muab tso ua ke raws li cov cai hauv tebchaws tam sim no, cov cai thiab cov ntaub ntawv cuam tshuam txog kev tswj kab mob.
1. Kev tu thiab tu cov nyhuv saib xyuas
(1) Kev soj ntsuam xyuas cov txiaj ntsig ntawm kev tu cov cuab yeej kuaj mob thiab kho, cov khoom siv thiab cov khoom siv: txhua hnub (txhua lub sijhawm) + tsis tu ncua (hli)
(2) Kev saib xyuas kev tu thiab tshuaj tua kab mob thiab lawv cov teebmeem: txhua hnub (txhua lub sijhawm) + tsis tu ncua (ib xyoos)
(3) Cov tshuaj tua kab mob: tsim kho tshiab, kho tshiab, kho dua tshiab, hloov cov tshuaj ntxuav, tshuaj tua kab mob, hloov cov txheej txheem thauj khoom, thiab lwm yam.
2. Kev saib xyuas cov tshuaj tua kab mob zoo
(1) Moist heat disinfection: txhua hnub (txhua lub sijhawm) + tsis tu ncua (ib xyoos)
(2) Tshuaj tua kab mob: Lub concentration ntawm cov khoom xyaw nquag (hauv Tshuag thiab siv) yuav tsum tau saib xyuas tsis tu ncua, thiab kev siv tas li yuav tsum tau saib xyuas txhua hnub;tus nqi ntawm cov kab mob sib kis (hauv kev siv)
(3) Kev saib xyuas cov tshuaj tua kab mob: cov khoom siv ncaj qha tom qab tshuaj tua kab mob (xws li tshuaj tua kab mob endoscopes, thiab lwm yam) yuav tsum tau saib xyuas txhua lub hlis twg
3. Kev soj ntsuam kev ua kom tsis muaj menyuam:
(1) Kev soj ntsuam ntawm lub zog ua kom tsis muaj menyuam
① Kev saib xyuas lub cev: (txhua lub sijhawm; rov ua dua 3 zaug tom qab kev teeb tsa tshiab, hloov chaw thiab hloov kho lub tshuab kom tsis muaj menyuam)
② Kev tshuaj xyuas tshuaj (sab hauv thiab sab nraum lub hnab; rov ua dua 3 zaug tom qab lub tshuab ua kom tsis muaj menyuam tau nruab tshiab, hloov chaw thiab hloov kho dua tshiab; thaum siv cov txheej txheem ceev ceev ceev kom tsis muaj menyuam, ib daim ntawv qhia tshuaj hauv lub hnab yuav tsum muab tso ncaj qha rau ntawm cov khoom yuav tsum tau ua. sterilized rau tshuaj xyuas)
③B-D xeem (txhua hnub; ua ntej pib ua kom tsis muaj menyuam txhua hnub)
④ Kev saib xyuas kev noj qab haus huv (ib lub lis piam; kev ua kom tsis muaj menyuam ntawm cov khoom siv cog qoob loo yuav tsum tau nqa tawm rau txhua pawg; thaum cov khoom ntim tshiab thiab cov txheej txheem siv rau kev ua kom tsis muaj menyuam; lub sterilizer yuav tsum npliag li 3 zaug sib law liag tom qab kev teeb tsa tshiab, hloov chaw thiab kho dua tshiab; me me Lub siab ua kom tsis muaj menyuam. yuav tsum tau ua kom tag nrho thiab tsis tu ncua saib peb zaug;
(2) Saib xyuas qhov ua tau zoo ntawm cov cua sov kom tsis muaj menyuam
① Kev saib xyuas lub cev: txhua qhov kev ua kom tsis muaj menyuam;3 zaug tom qab kev teeb tsa tshiab, hloov chaw thiab kho dua tshiab
② Tshuaj xyuas: txhua pob kom tsis muaj menyuam;3 zaug tom qab kev teeb tsa tshiab, hloov chaw thiab kho dua tshiab
③ Kev saib xyuas lom neeg: ib zaug ib lub lim tiam;sterilization ntawm implantable pab kiag li lawm yuav tsum tau nqa tawm rau txhua batch;rov qab 3 zaug tom qab kev teeb tsa tshiab, hloov chaw thiab kho dua tshiab
(3) Saib xyuas kev ua tau zoo ntawm ethylene oxide gas sterilization
① Kev saib xyuas lub cev: Rov ua dua 3 zaug txhua zaus;Thaum lub installation tshiab, hloov chaw, kho dua tshiab, kom tsis muaj menyuam tsis ua haujlwm, cov khoom ntim khoom lossis cov khoom yuav tsum tau ua kom tsis muaj menyuam raug hloov.
② Tshuaj xyuas txoj kev: txhua pob khoom kom tsis muaj menyuam;rov ua dua 3 zaug thaum kev teeb tsa tshiab, hloov chaw, kho dua tshiab, ua kom tsis muaj menyuam tsis ua haujlwm, ntim khoom lossis hloov pauv ntawm cov khoom tsis huv
③Biological soj ntsuam txoj kev: rau txhua sterilization batch;sterilization ntawm implantable pab kiag li lawm yuav tsum tau nqa tawm rau txhua batch;rov ua dua 3 zaug thaum kev teeb tsa tshiab, hloov chaw, kho dua tshiab, ua kom tsis muaj menyuam tsis ua haujlwm, ntim khoom lossis hloov pauv ntawm cov khoom tsis huv.
(4) Kev soj ntsuam ntawm hydrogen peroxide plasma sterilization
① Kev saib xyuas lub cev: Rov ua dua 3 zaug txhua zaus;Thaum lub installation tshiab, hloov chaw, kho dua tshiab, kom tsis muaj menyuam tsis ua haujlwm, cov khoom ntim khoom lossis cov khoom yuav tsum tau ua kom tsis muaj menyuam raug hloov.
② Tshuaj xyuas txoj kev: txhua pob khoom kom tsis muaj menyuam;rov ua dua 3 zaug thaum kev teeb tsa tshiab, hloov chaw, kho dua tshiab, ua kom tsis muaj menyuam tsis ua haujlwm, ntim khoom lossis hloov pauv ntawm cov khoom tsis huv
③ Kev soj ntsuam kev lom neeg: yuav tsum tau ua tsawg kawg ib zaug ib hnub;sterilization ntawm implantable li yuav tsum tau ua rau txhua batch;rov ua dua 3 zaug thaum kev teeb tsa tshiab, hloov chaw, kho dua tshiab, ua kom tsis muaj menyuam, ntim khoom lossis hloov pauv cov khoom tsis muaj menyuam
(5) Kev soj ntsuam ntawm qhov kub thiab txias formaldehyde chav ua kom tsis muaj menyuam
① Kev saib xyuas lub cev: Rov ua dua 3 zaug rau txhua qhov kev ua kom tsis muaj menyuam;Kev txhim kho tshiab, hloov chaw, kho dua tshiab, ua kom tsis muaj menyuam tsis ua haujlwm, ntim khoom lossis hloov pauv cov khoom tsis muaj menyuam
② Tshuaj xyuas txoj kev: txhua pob khoom kom tsis muaj menyuam;rov ua dua 3 zaug thaum kev teeb tsa tshiab, hloov chaw, kho dua tshiab, ua kom tsis muaj menyuam tsis ua haujlwm, ntim khoom lossis hloov pauv ntawm cov khoom tsis huv
③ Kev soj ntsuam kev lom neeg: yuav tsum tau saib xyuas ib zaug ib lub lim tiam;sterilization ntawm implantable pab kiag li lawm yuav tsum tau nqa tawm rau txhua batch;rov ua dua 3 zaug thaum kev teeb tsa tshiab, hloov chaw, kho dua tshiab, ua kom tsis muaj menyuam, ntim khoom lossis hloov pauv cov khoom tsis muaj menyuam
4. Saib xyuas kev ua haujlwm ntawm tes thiab cov tawv nqaij tua kab mob
Cov chaw ua haujlwm uas muaj kev pheej hmoo kis tus kab mob ntau (xws li chav ua haujlwm, chav xa menyuam, chav kuaj cath, laminar flow clean wards, pob txha pob txha hloov chaw zov me nyuam, cov tsev kho mob hloov hauv nruab nrog cev, cov chav saib xyuas mob hnyav, chav menyuam mos, chav niam thiab menyuam yaus, chav tsev kho mob hemodialysis, hlawv pawg ntseeg, Cov kab mob kis kab mob, Department of Stomatology, thiab lwm yam): Peb lub hlis twg;Thaum muaj kev kis tus kab mob hauv tsev kho mob xav tias muaj feem cuam tshuam nrog kev tu cev ntawm cov neeg ua haujlwm kho mob, nws yuav tsum tau ua raws sijhawm thiab cov kab mob sib kis yuav tsum tau sim.
(1) Kev saib xyuas cov tshuaj tua kab mob hauv tes: tom qab ntxuav tes thiab ua ntej tiv tauj cov neeg mob lossis koom nrog kev kho mob.
(2) Saib xyuas cov tshuaj tua kab mob ntawm daim tawv nqaij: ua raws li lub sijhawm ua haujlwm tau teev tseg hauv cov lus qhia rau kev siv, thiab coj mus kuaj hauv lub sijhawm tom qab ua tiav cov tshuaj tua kab mob.
5. Saib xyuas cov tshuaj tua kab mob ntawm cov khoom nto
Tej thaj chaw muaj kab mob thiab thaj chaw muaj kab mob yog tua kab mob;Cov chaw huv huv raug txiav txim raws li qhov chaw nyob ntawm qhov chaw;Kev kuaj ntsuas yog ua thaum xav tias muaj feem cuam tshuam nrog kev kis kab mob hauv tsev kho mob.(Blood Purification Protocol 2010 Edition: Txhua hli)
6. Cov tshuaj tua kab mob hauv huab cua saib xyuas
(1) Lub Tsev Haujlwm uas muaj kev pheej hmoo kis tus kab mob ntau: peb lub hlis twg;huv chav haujlwm (chav) thiab lwm qhov chaw huv.Kev saib xyuas yuav tsum tau ua thaum lub sij hawm lees txais kev tsim kho tshiab thiab kev tsim kho tshiab thiab tom qab hloov cov lim dej ua haujlwm siab;Kev saib xyuas yuav tsum tau ua txhua lub sijhawm thaum muaj kev kis mob hauv tsev kho mob xav tias muaj feem cuam tshuam nrog huab cua., thiab ua kom paub txog cov kab mob sib kis kab mob.Tshwj xeeb cov chaw phais mob thiab lwm qhov chaw huv huv kom ntseeg tau tias txhua chav huv tuaj yeem saib xyuas tsawg kawg ib xyoos ib zaug.
(2) Lub sij hawm ua piv txwv: Rau cov chav uas siv cov cuab yeej huv huv los ntxuav cov huab cua, coj mus kuaj tom qab lub tshuab ntxuav nws tus kheej thiab ua ntej koom nrog kev kho mob;rau cov chav uas tsis siv cov cuab yeej huv huv los ntxuav cov huab cua, coj mus kuaj tom qab tshuaj tua kab mob lossis kev tso pa tawm thiab ua ntej koom nrog kev kho mob;los yog Sampling thaum xav tias yuav cuam tshuam nrog tus kab mob nosocomial tshwm sim.
7. Saib xyuas cov tshuaj tua kab mob ntawm cov khoom siv tu: coj mus kuaj tom qab tshuaj tua kab mob thiab ua ntej siv.
Nqa cov qauv tom qab tua kab mob thiab ua ntej siv.
8. Kev kuaj xyuas cov kab mob pathogenic:
Kev saib xyuas niaj hnub tsis tas yuav kuaj xyuas cov kab mob pathogenic.Cov phiaj xwm kab mob yuav tsum raug kuaj thaum xav tias muaj kab mob hauv tsev kho mob tshwm sim, thaum kuaj mob hauv tsev kho mob, lossis thaum muaj kab mob kis los ntawm qee yam kab mob uas xav tias ua haujlwm.
9. Kev soj ntsuam ntawm UV teeb irradiance tus nqi
Cov khoom muag (tshiab tau qhib) + siv
10. Kev tshuaj xyuas cov khoom siv kom tsis muaj menyuam thiab cov khoom siv kho mob pov tseg
Nws tsis pom zoo tias cov tsev kho mob niaj hnub ua qhov kev sim no.Thaum qhov kev tshawb nrhiav kab mob kis tau xav tias cov xwm txheej hauv tsev kho mob muaj feem cuam tshuam nrog cov khoom tsis huv, cov kev tshuaj ntsuam xyuas yuav tsum tau ua.
11.Kev saib xyuas ntawm hemodialysis
(1) Cua, qhov chaw thiab tes: txhua hli
(2) Dialysis dej: PH (txhua hnub): cov kab mob (thawj zaug kuaj ib zaug ib lub lim tiam, thiab hloov mus rau txhua hli tom qab ob qhov kev ntsuam xyuas sib law liag raws li qhov yuav tsum tau ua, thiab qhov chaw sampling yog qhov kawg ntawm cov kav dej rov qab osmosis);endotoxin (thaum pib Kev Xeem yuav tsum tau ua ib zaug ib lub lim tiam, thiab hloov mus rau tsawg kawg peb lub hlis twg tom qab ob qhov kev xeem sib law liag raws li qhov yuav tsum tau ua. Qhov chaw kuaj sim yog qhov kawg ntawm cov kav dej rov qab osmosis; yog kub taub hau, ua daus no, los yog mob ceg tawv ntawm lub cev. vascular nkag sab tshwm sim thaum siv lub dialyzer reused, qhov kev ntsuam xyuas yuav tsum tau ua Test rov qab osmosis dej rau rov qab siv thiab yaug);chemical contaminants (tsawg kawg ib xyoos ib zaug);mos dej hardness thiab dawb chlorine (tsawg kawg txhua lub lim tiam);
(3) Qhov seem ntawm cov tshuaj tua kab mob rov qab siv dua: dialyzer tom qab rov siv dua;Yog tias ua npaws, ua daus no, lossis mob sab sauv ntawm cov hlab ntsha tuaj yeem tshwm sim thaum siv lub tshuab lim dej rov qab siv dua, cov dej rov qab osmosis rov qab siv dua yuav tsum tau sim.
(4) Cov tshuaj tua kab mob rau cov tshuab lim ntshav: txhua hli (cov tshuaj tua kab mob thiab cov seem seem ntawm cov khoom siv tshuaj tua kab mob)
(5) Dialysate: kab mob (ib hlis), endotoxin (tsawg kawg peb lub hlis twg);txhua lub tshuab lim ntshav raug kuaj tsawg kawg ib xyoos ib zaug
(6) Dialyzer: ua ntej txhua rov siv dua (daim ntawv lo, zoo li, muaj peev xwm, siab, concentration ntawm cov tshuaj tua kab mob);tom qab txhua qhov rov siv dua (zoo li, sab hauv fiber ntau, hnub tas sij hawm);ua ntej siv (qhov tshwm sim, daim ntawv lo, Hnub Kawg, cov ntaub ntawv tus neeg mob, qauv, muaj cov tshuaj tua kab mob thiab cov seem ntawm cov tshuaj tua kab mob tom qab yaug).Hauv kev siv (tus neeg mob kho mob thiab teeb meem)
(7) Ua kom lub thoob npaj: Muab tshuaj tua kab mob txhua lub lim tiam thiab siv daim ntawv xeem kom paub tseeb tias tsis muaj cov tshuaj tua kab mob seem.
12.Kev saib xyuas cov tshuaj tua kab mob
(1) Saib xyuas qhov concentration ntawm cov khoom xyaw nquag (hauv Tshuag thiab thaum siv) tsis tu ncua, thiab yuav tsum tau saib xyuas txhua hnub rau kev siv tas li;
(2) Kev saib xyuas cov kab mob sib kis thaum siv (ua kom tsis muaj tshuaj tua kab mob, tshuaj tua kab mob ntawm daim tawv nqaij thiab mucous membrane, thiab lwm yam tshuaj tua kab mob thaum siv)
13. Intravenous drug dispensing center (chaw)
(1) Qhov chaw huv huv yuav tsum raug kuaj los ntawm lub tuam tsev tswj hwm kom ua tau raws li cov qauv kev huv hauv lub tebchaws (thawj qhov hloov tshiab, chav ntxhua khaub ncaws thiab cov khoom siv huv huv yog qib 100,000; qhov hloov tshiab thib ob, chav ntim tshuaj thiab tshuaj yog qib 10,000; lub laminar flow lub rooj ua haujlwm yog qib 100) ua ntej nws tuaj yeem siv tau.
(2) Cov lim cua yuav tsum tau hloov tsis tu ncua hauv thaj chaw huv.Tom qab ua tiav ntau yam kev kho uas yuav cuam tshuam rau huab cua huv, nws yuav tsum tau sim thiab xyuas kom tau raws li cov qauv kev huv huv ua ntej nws tuaj yeem siv dua.
(3) Tus naj npawb ntawm cov kab mob hauv cov huab cua hauv thaj chaw huv yuav tsum raug kuaj xyuas tsis tu ncua txhua lub hlis.
(4) Biological kev nyab xeeb txee: Cov khoom siv roj ntsha kev nyab xeeb yuav tsum tau saib xyuas cov kab mob sedimentation ib hlis ib zaug.Cov khoom siv tshuaj lom neeg muaj kev nyab xeeb yuav tsum hloov tam sim ntawd hloov cov lim dej lim dej raws li cov lus qhia tsis siv neeg.Ntau yam tsis zoo ntawm lub txee kev nyab xeeb yuav tsum tau sim txhua txhua xyoo kom ntseeg tau tias kev ua haujlwm zoo ntawm lub txee kev nyab xeeb, thiab daim ntawv tshaj tawm yuav tsum tau txais kev cawmdim.
(5) Kab rov tav laminar ntws huv lub rooj ntev zaum: Kab rov tav laminar ntws huv lub rooj zaum yuav tsum tau saib xyuas cov kab mob dynamic planktonic ib zaug ib lub lim tiam;Ntau yam tsis sib xws ntawm kab rov tav laminar ntws huv lub rooj zaum yuav tsum tau sim txhua xyoo kom ntseeg tau tias kev ua haujlwm zoo ntawm lub rooj ntev zaum huv, thiab daim ntawv xeem yuav tsum tau txais kev cawmdim;
14. Kev saib xyuas kev ntxuav thiab tshuaj tua kab mob ntawm cov ntaub ntawv kho mob
Txawm hais tias nws yog lub tsev kho mob uas ntxuav thiab tshuaj tua kab mob rau nws tus kheej, lossis lub tsev kho mob uas muaj lub luag haujlwm rau kev ntxuav thiab tshuaj tua kab mob los ntawm lub chaw ua haujlwm ntxhua khaub ncaws, cov ntaub ntawv kho mob tom qab ntxuav thiab tshuaj tua kab mob lossis tau txais kev ntxuav thiab tshuaj tua kab mob yuav tsum tau tshuaj xyuas tsis tu ncua lossis Qee lub sij hawm rau cov khoom, nto stains, kev puas tsuaj, thiab lwm yam. Kev tshuaj xyuas microbiological yog ua tsis tu ncua.Tam sim no tsis muaj cov kev cai sib koom ua ke ntawm cov qauv thiab cov qauv ntsuas tshwj xeeb.
Post lub sij hawm: Sep-21-2023
