Kev saib xyuas kev kho mob ntawm tsev kho mob tua kab mob thiab kom tsis muaj menyuam yog qhov zoo ntawm kev tshawb pom teeb meem. Nws yog ib qho tseem ceeb ntawm lub tsev kho mob tus kab mob kuaj xyuas qhov ntsuas thiab ib qho ntawm cov ntsiab lus yuav tsum tau-kos npe hauv tsev kho mob qib tshuaj xyuas. Txawm li cas los xij, kev tswj hwm kev tswj hwm txhua hnub yog feem ntau muaj kev cuam tshuam los ntawm qhov no, tsis yog hais txog kev saib xyuas thiab cov ntaub ntawv ua haujlwm zoo li tau siv lub ncauj lus kov hauv tsev kho mob.
Lub hauv paus: muab tso ua ke raws li kev cai lij choj tam sim no, cov cai thiab cov ntaub ntawv ntsig txog kev tswj kab mob sib kis.
1. Kev tu thiab tu kev soj ntsuam kev soj ntsuam
(1) Xyuas cov ua tau zoo ntawm kev tu ntawm cov twj tshuaj xyuas thiab kho cov cuab yeej, cov tais diav thiab cov khoom: txhua hnub (txhua zaus (txhua hli)
(2) Kev ntxuav tu thiab cov khoom siv tshuaj tua kab thiab lawv cov teebmeem: txhua hnub (txhua zaus) + tsis tu ncua (txhua xyoo)
(3) Cov tshuaj tua kab ntxhua khaub ncaws: tshiab khiv, hloov tshiab, hloov cov txheej txheem tu, hloov chaw thau khoom, thiab lwm yam.
2. Kev saib xyuas ntawm kev tua kab mob kom zoo
(1) Moj noo noo kub disinfection: txhua hnub (txhua zaus) + tsis tu ncua (txhua xyoo)
(2) Kev tua kab mob: kev siv cov khoom xyaw nquag (hauv Tshuag thiab siv tsis tu ncua, thiab kev siv tas mus li yuav tsum raug saib xyuas txhua hnub; Tus nqi ntawm cov kab mob kis tau (siv)
(3) Kev rho tawm cov txiaj ntsig kev soj ntsuam: cov khoom siv ncaj qha tom qab tua kab mob (xws li tshuaj tua kab mob itinfected endoscopes, thiab lwm yam) yuav tsum tau saib xyuas peb lub hlis twg
3. Kev saib xyuas cov nyhuv tsis muaj txiaj ntsig:
(1) Kev xyuas cov kev ntsuas siab kom tsis muaj menyuam
Kev Tswj Xyuas Nyiaj Txiag: (txhua zaus; rov ua 3 zaug tom qab kev teeb tsa tshiab, kev hloov kho thiab kho dua tshiab ntawm lub sterizer)
Kev soj ntsuam ②chemical (sab hauv thiab sab nraum lub hnab; rov ua dua 3 zaug tom qab siv cov khoom siv tsis huv
③B-D Kuaj (txhua txhua hnub; ua ntej pib ua haujlwm tsis muaj menyuam nyob txhua hnub)
④biological soj ntsuam (txhua lub limtiam; kev saib xyuas cov khoom siv thiab kev ntsuas kom tsis tu ncua; kev ntsuas kom tsis tu ncua
(2) Xyuas kom tau txais txiaj ntsig ntawm cov cua sov qhuav tsis muaj menyuam
Saib Xyuas: Txhua tus menyuam tsis muaj menyuam; 3 zaug tom qab kev teeb tsa tshiab, kev hloov kho thiab kho dua tshiab
②chemical Saib Xyuas: Txhua pob tsis muaj zog; 3 zaug tom qab kev teeb tsa tshiab, kev hloov kho thiab kho dua tshiab
③biological xyuas: ib hlis ib zaug; kom tsis muaj tsheb ntawm cov khoom siv tsis muaj nqis yuav tsum tau nqa tawm rau txhua pob; rov ua dua 3 zaug tom qab kev teeb tsa tshiab, kev hloov kho thiab kho dua tshiab
(3) Kev saib xyuas cov txiaj ntsig ntawm ethylene oxide roj tsis muaj menyuam
①physical saib txoj kev: rov ua dua 3 zaug txhua lub sijhawm; Thaum kev teeb tsa tshiab, kev hloov kho, kho dua tshiab, kom tsis muaj menyuam tsis muaj zog, ntim khoom lossis cov khoom kom tsis muaj peev xwm hloov tau raug hloov.
②chemical saib xyuas cov qauv: txhua yam tsis muaj menyuam pob khoom pob; Rov ua 3 zaug thaum kev teeb tsa tshiab, kev txhim kho, kho kom tsis muaj menyuam, ntim khoom lossis hloov hauv cov khoom sterilized
③biological xyuas txoj kev: Rau txhua tus tsis muaj menyuam cuam; kom tsis muaj tsheb ntawm cov khoom siv tsis muaj nqis yuav tsum tau nqa tawm rau txhua pob; Rov qab 3 zaug thaum kev teeb tsa tshiab, kev hloov dua tshiab, kev ua kom tsis muaj menyuam, ntim khoom lossis hloov hauv cov khoom sterilized.
(4) Kev soj ntsuam ntawm hydrogen peroxide ntshav kom tsis muaj menyuam
①physical saib txoj kev: rov ua dua 3 zaug txhua lub sijhawm; Thaum kev teeb tsa tshiab, kev hloov kho, kho dua tshiab, kom tsis muaj menyuam tsis muaj zog, ntim khoom lossis cov khoom kom tsis muaj peev xwm hloov tau raug hloov.
②chemical saib xyuas cov qauv: txhua yam tsis muaj menyuam pob khoom pob; Rov ua 3 zaug thaum kev teeb tsa tshiab, kev txhim kho, kho kom tsis muaj menyuam, ntim khoom lossis hloov hauv cov khoom sterilized
③biological xyuas txoj kev: yuav tsum tau ua tsawg kawg ib zaug ib hnub; kom tsis muaj menyuam ntawm cov khoom siv tsis muaj tsheb yuav tsum tau ua rau txhua pob; Rov ua 3 zaug thaum kev teeb tsa tshiab, kev hloov dua tshiab, kev ua kom tsis muaj menyuam, ntim khoom lossis hloov hauv cov khoom sterilized
(5) Kev tshuaj xyuas ntawm qhov qis-kub formaldehyde Chav kom tsis muaj menyuam
Txoj Kev Tswj Xyuas Kev Tswj Xyuas: Rov ua dua 3 zaug rau txhua tus tsis muaj zog batch; Kev teeb tsa tshiab, kev hloov kho, overhaud, kom tsis muaj menyuam tsis ua haujlwm, ntim khoom lossis hloov hauv cov khoom sterilized
②chemical saib xyuas cov qauv: txhua yam tsis muaj menyuam pob khoom pob; Rov ua 3 zaug thaum kev teeb tsa tshiab, kev txhim kho, kho kom tsis muaj menyuam, ntim khoom lossis hloov hauv cov khoom sterilized
③biological xyuas txoj kev: yuav tsum tau saib xyuas ib zaug ib lim tiam; kom tsis muaj tsheb ntawm cov khoom siv tsis muaj nqis yuav tsum tau nqa tawm rau txhua pob; Rov ua 3 zaug thaum kev teeb tsa tshiab, kev hloov dua tshiab, kev ua kom tsis muaj menyuam, ntim khoom lossis hloov hauv cov khoom sterilized
4. Saib xyuas qhov ua tau zoo ntawm tes thiab cov tshuaj tua kab mob
Cov chaw muaj mob muaj mob siab rau ntawm cov chav ua haujlwm, cov chav hloov pob txha, cov chav tsev menyuam yaus, chav ua haujlwm hauv pawg ntseeg, chav saib xyuas kev sib txawv, thiab lwm yam): peb hlis ntuj; Thaum kis tau tus mob hauv tsev kho mob muaj feem xyuam rau kev nyiam huv tes ntawm cov neeg kho mob, nws yuav tsum tau ua raws sijhawm thiab cov kab mob pathogenic cov kab mob yuav tsum raug kuaj.
(1) Kev soj ntsuam ntawm tes ua kom cov tshuaj tua kab mob: Tom qab kev tu cev thiab ua ntej hu rau cov neeg mob lossis kev koom tes hauv kev kho mob
(2) Tshuaj kev ua kom cov tshuaj tua kab mob ntawm daim tawv: Ua raws li lub sijhawm ua haujlwm hauv cov khoom lag luam rau kev siv, thiab coj cov qauv hauv lub sijhawm tom qab kev ua kom mob ua kom tiav.
5. Kev tshuaj xyuas cov kev ua kom loog ntawm cov khoom
Cov chaw tsis huv thiab cov chaw tsis huv yog cov tshuaj tua kab mob; Cov thaj av huv tau txiav txim siab raws cov chaw nyob ntawm thaj chaw; Kev kuaj kab mob tshwm sim thaum uas xav tias cuam tshuam nrog lub tsev kho mob kis mob. (Cov Ntshav Ntshav Cov Qauv Ntshav 2010 tsab: txhua hli)
6. Kev Kho Cua Tiv Thaiv Kev Kho Mob
(1) chav haujlwm uas muaj kev pheej hmoo kis mob: peb hlis ntuj; Cov chaw ua haujlwm huv (chav) thiab lwm qhov chaw huv. Kev xyuas yuav tsum tau nqa tawm thaum lub sijhawm lees paub ntawm kev tsim kho tshiab thiab rov tsim kho thiab tom qab hloov cov lim dej siab; Kev soj ntsuam yuav tsum tau nqa tawm thaum twg los tau kis ntawm kab mob hauv tsev kho mob uas xav tias muaj feem cuam tshuam txog huab cua pa phem. , thiab coj cov kab ke pathogenic microorganism kev phais mob thiab lwm qhov chaw huv kom paub tias txhua chav huv yuav raug saib xyuas tsawg kawg ib xyoos ib zaug
(2) lub sijhawm ntsuas: Rau cov chav uas siv cov thev naus laus zis ntxuav kom huv si, coj mus kuaj kom huv thiab ua ntej muaj kev kho mob; Rau cov chav uas tsis siv cov thev naus laus zis ntxuav kom huv si cua, coj mus kuaj tom qab kev tua kab mob lossis ua ntej muaj kev cuam tshuam hauv kev kho mob; lossis piv txwv thaum xav tias yuav cuam tshuam nrog tus kab mob nosocomial tshwm sim.
7.
Coj cov hnoos qeev tom qab tshuaj tua kab mob thiab ua ntej siv.
8. Nrhiav kom muaj ntawm cov kab mob pathogenic:
Cov kev soj ntsuam kev saib xyuas ib txwm ua tsis tas yuav ntes cov kab mob pathogenic microorganisms. Lub hom phiaj yuav tsum kuaj xyuas thaum twg hauv tsev kho mob kis mob kis mob kis rau cov kab mob uas tsis raug mob.
9. Saib xyuas UV teeb Irradiance tus nqi
Cov lus nug (tshiab siv) + hauv kev siv
10. Kev tshuaj xyuas ntawm cov khoom sterilized thiab cov khoom siv kho mob pov tseg
Nws tsis pom zoo tias tsev kho mob niaj zaus ua hom kev xeem no. Thaum tshawb nrhiav cov neeg soj ntsuam cov neeg txom nyem hauv tsev kho mob uas muaj feem xyuam rau cov khoom kom tsis muaj menyuam, yuav tsum tau tshuaj xyuas yuav tsum tau ua.
11.related soj ntsuam ntawm hemodialysis
(1) cua, chaw thiab tes: txhua hli
(2) dej lim dej: pH (txhua hnub): Thaum pib kuaj ib hlis ib zaug, thiab hloov mus rau qhov kev coj ua tau xaus, thiab hloov pauv qhov rov qab osmosis dej rov qab); endotoxin (pib twv yuav tsum tau ua ib zaug ib as thiv, thiab ua npaws, ua kom muaj qhov ua rau rov qab ua dua tshiab Osmular, lossis kub ntxhov rau cov dej num rov qab. cov tshuaj paug tsis huv (tsawg kawg ib xyoos); Mos Dej hardness thiab dawb chlorine (tsawg kawg ib asthiv);
(3) Tus nqi them rov qab ntawm tus nqi siv tshuaj tua kab mob: Dialyzer tom qab rov siv dua; Yog tias kub taub hau, ua kom txias, lossis txoj hlab ntaws sab saud ntawm cov vascular nkag sab tshwm sim thaum siv cov dej ntws rov qab, cov dej rov qab osnaj rau kev rov kuaj
(4) Cov tshuaj tua kab mob lim ntshav: txhua hli (tshuaj tua kab mob siab thiab seem ntawm cov khoom siv tshuaj tua kab mob)
(5) lim dej: cov kab mob (txhua hli), endotoxin (tsawg kawg yog peb lub hlis); Txhua daim ntaub thaiv npog yog kuaj tsawg kawg ib xyoos ib zaug
(6) Dialyzer: Ua ntej yuav rov qab siv dua (daim ntawv sau npe, tsos, muaj peev xwm, siab siab ntawm cov tshuaj tua kab mob); Tom qab txhua qhov kev rov qab siv dua (tsos, sab hauv fiber ntau, hnub so haujlwm); Ua ntej siv (tsos, daim ntawv lo, hnub so, cov ntaub ntawv tus neeg mob, cov qauv, muaj cov tshuaj tua kab mob thiab seem ntawm cov tshuaj tua kab mob tom qab yaug). Hauv kev siv (cov neeg mob chaw kuaj mob thiab mob teeb meem)
(7) Mloog cov khoom pib ua haujlwm: Tshuaj tua kab mob nrog cov tshuaj tua kab mob txhua lub limtiam thiab siv daim ntawv xeem kom paub meej tias tsis muaj tshuaj tua kab mob.
12.related soj ntsuam ntawm cov tshuaj tua kab mob
(1) Saib xyuas cov khoom xyaw nquag (hauv Tshuag thiab thaum siv) tsis tu ncua, thiab yuav tsum tau saib xyuas txhua hnub rau kev siv tas mus li;
(2) Kev kuaj xyuas cov kab mob sib kis thaum siv cov tshuaj tua kab mob, tawv nqaij thiab cov tshuaj tua kab mob ua paug, thiab lwm yam kev puas tsuaj thaum siv)
13. Kev noj tshuaj uas faib tawm (chav)
(1) Cov chaw huv huv yuav tsum raug kuaj los ntawm lub chaw haujlwm tu siab kom tau raws li kev hloov pauv ntawm lub teb chaws yog qib thib 100,000;
(2) Cov lim cua yuav tsum tau hloov cov chaw huv si hauv thaj chaw huv. Tom qab nqa tawm ntau yam kev kho uas yuav cuam tshuam rau huab cua huv si, nws yuav tsum raug kuaj kom tau raws li cov qauv qib huv si ua ntej nws tuaj yeem muab tso rau hauv kev siv dua.
(3) Tus naj npawb ntawm cov kab mob plab cov kab mob hauv cov pa hauv thaj chaw huv yuav tsum kuaj pom tsis tu ncua txhua lub hlis.
(4) Kev Nyab Xeeb Hluav Taws Xob: Kev Nyab Xeeb Kev Nyab Xeeb Kev Nyab Xeeb Kev Nyab Xeeb Kev Nyab Xeeb yuav tsum tau saib rau cov kab mob sedimentation ib hlis ib hlis ib zaug ib hlis ib zaug. Kev Nyab Xeeb Kev Nyab Xeeb Kev Nyab Xeeb Yuav tsum hloov kho cov ntxaij lim dej ua haujlwm raws li cov lus qhia tsis siv neeg. Ntau yam tsis yog ntawm kev tiv thaiv kev nyab xeeb ntawm kev nyab xeeb ntawm roj ntsha txhua xyoo kom ntseeg tau tias kev ua haujlwm muaj kev nyab xeeb ntawm kev txuag roj ntsha, thiab daim ntawv tshaj tawm kev nyab xeeb yuav tsum tau txais kev cawmdim.
(5) Kab rov tav Laminar ntws kom huv huv lub rooj ntev zaum: Tus kab rov tav Laminar ntws kom huv si yuav tsum tau saib xyuas rau cov kab mob plankonicic ib zaug; Ntau yam tsis ntawm lub rooj sib cav Laminar ntws kom huv lub rooj sib tw yuav tsum raug kuaj txhua xyoo kom ntseeg tau tias yuav tsum tau txais kev cawmdim;
14. Kev saib xyuas ntawm kev ntxhua khaub ncaws thiab tshuaj tua kab mob cov tshuaj kho mob
Seb nws yog lub tuam txhab khomob uas ntxuav thiab ntxuav cov ntaub ntawv kho mob, cov tshuaj ntxuav tes los ntawm kev ntxuav thiab kev puas tsuaj, thiab lwm yam. Tam sim no tsis muaj cov cai sib koom ua ke ntawm cov qauv kev kuaj thiab kev sim.
Lub Sijhawm Post: Sep-21-2023
