Gukurikirana isuku yo kwanduza ibitaro no kuboneza urubyaro nuburyo bwiza bwo kuvumbura ibibazo. Nibice byingenzi bya sisitemu yo kugenzura kwandura ibitaro kandi kimwe mubigomba-kugenzurwa mubisubizo by'ibitaro. Nyamara, imirimo yo kuyobora burimunsi ikunze guhangayikishwa nibi, tutibagiwe nuburyo bwo gukurikirana, ibikoresho byakoreshejwe, uburyo bwo gukora ibizamini hamwe na raporo y'ibisubizo, nibindi, gusa igihe ninshuro yo kugenzura bisa nkibintu byari bikora mubitaro.
Shingiro: Byakozwe hashingiwe ku mategeko y’igihugu, amabwiriza n’inyandiko zijyanye no gucunga indwara.
1. Kugenzura ingaruka no gukora isuku
(1) Gukurikirana imikorere yisuku yibikoresho byo gusuzuma no kuvura, ibikoresho nibikoresho: burimunsi (buri gihe) + bisanzwe (buri kwezi)
(2) Gukurikirana ibikoresho byoza no kwanduza indwara n'ingaruka zabyo: burimunsi (buri gihe) + bisanzwe (buri mwaka)
.
2. Gukurikirana ubuziranenge bwangiza
.
. ingano ya bagiteri yanduye (ikoreshwa)
.
3. Gukurikirana ingaruka zo kuboneza urubyaro:
(1) Gukurikirana ingaruka zumuvuduko ukabije
Monitoring Gukurikirana umubiri: (buri gihe; byongeye inshuro 3 nyuma yo kwishyiriraho bundi bushya, kwimuka no kuvugurura sterilizer)
MonitoringIgenzura ryimiti (imbere no hanze yumufuka; subiramo inshuro 3 nyuma ya sterilisateur imaze gushyirwaho, kwimurwa no kuvugururwa; mugihe ukoresheje uburyo bwihuse bwokwirinda amavuta, igice cyerekana imiti mumufuka kigomba gushyirwa kuruhande rwibintu bigomba kuba sterilisation yo gukurikirana imiti)
TestB-D ikizamini (burimunsi; mbere yo gutangira ibikorwa bya sterilisation ya buri munsi)
Monitoring Gukurikirana ibinyabuzima (buri cyumweru; guhagarika ibikoresho byatewe bigomba gukorwa kuri buri cyiciro; mugihe ibikoresho bishya bipfunyika hamwe nuburyo byakoreshejwe muguhindura ingumba; steriseri igomba kuba irimo ubusa inshuro 3 zikurikiranye nyuma yo gushiraho, kwimuka no kuvugurura; ntoya bigomba kuba byuzuye kandi bigakomeza gukurikiranwa inshuro eshatu gukoresha uburyo bwihuse bwumuvuduko ukabije kandi ugashyira icyerekezo cyibinyabuzima muri sterilizeri irimo ubusa.)
(2) Gukurikirana imikorere yubushyuhe bwumye
Monitoring Gukurikirana umubiri: buri cyiciro cyo kuboneza urubyaro; Inshuro 3 nyuma yo kwishyiriraho, kwimuka no kuvugurura
Monitoring Gukurikirana imiti: buri paketi yo kuboneza urubyaro; Inshuro 3 nyuma yo kwishyiriraho, kwimuka no kuvugurura
Monitoring Gukurikirana ibinyabuzima: rimwe mu cyumweru; Guhindura ibikoresho byatewe bigomba gukorwa kuri buri cyiciro; gusubiramo inshuro 3 nyuma yo kwishyiriraho gushya, kwimuka no kuvugurura
(3) Gukurikirana imikorere ya gaz ya Ethylene oxyde
Method Uburyo bwo gukurikirana umubiri: Subiramo inshuro 3 buri gihe; mugihe iyinjizamo rishya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa ibintu bigomba guhindurwa.
Method Uburyo bwo kugenzura imiti: buri kintu cyateganijwe; subiramo inshuro 3 mugihe gishya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa guhinduka mubintu byahinduwe.
Method Uburyo bwo gukurikirana ibinyabuzima: kuri buri cyiciro cyo kuboneza urubyaro; Guhindura ibikoresho byatewe bigomba gukorwa kuri buri cyiciro; byasubiwemo inshuro 3 mugihe kwishyiriraho gushya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa guhinduka mubintu byahinduwe.
(4) Gukurikirana hydrogen peroxide plasma sterilisation
Method Uburyo bwo gukurikirana umubiri: Subiramo inshuro 3 buri gihe; mugihe iyinjizamo rishya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa ibintu bigomba guhindurwa.
Method Uburyo bwo kugenzura imiti: buri kintu cyateganijwe; subiramo inshuro 3 mugihe gishya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa guhinduka mubintu byahinduwe.
Method Uburyo bwo gukurikirana ibinyabuzima: bigomba gukorwa byibuze rimwe kumunsi; Guhindura ibikoresho byatewe bigomba gukorwa kuri buri cyiciro; byasubiwemo inshuro 3 mugihe gishya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa guhinduka mubintu byahinduwe.
(5) Gukurikirana ubushyuhe buke bwa formaldehyde yamashanyarazi
Method Uburyo bwo gukurikirana umubiri: Subiramo inshuro 3 kuri buri cyiciro cyo kuboneza urubyaro; kwishyiriraho gushya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa impinduka mubintu byahinduwe
Method Uburyo bwo kugenzura imiti: buri kintu cyateganijwe; subiramo inshuro 3 mugihe gishya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa guhinduka mubintu byahinduwe.
Method Uburyo bwo gukurikirana ibinyabuzima: bigomba gukurikiranwa rimwe mu cyumweru; Guhindura ibikoresho byatewe bigomba gukorwa kuri buri cyiciro; byasubiwemo inshuro 3 mugihe gishya, kwimuka, kuvugurura, kunanirwa kwa sterisizione, ibikoresho byo gupakira cyangwa guhinduka mubintu byahinduwe.
4. Gukurikirana imikorere yintoki no kwanduza uruhu
Amashami afite ibyago byinshi byo kwandura (nk'ibyumba byo gukoreramo, ibyumba byo kubariramo, laboratoire ya cath, inzu ya laminari isukuye, ibyumba byo gutera amagufa, ibyumba byo guteramo ingingo, ishami ryita ku barwayi, ibyumba by’abana bavuka, ibyumba by’ababyeyi n’abana, ibyumba bya hemodialyse, ibyumba byo gutwika, ishami ryindwara zandura, Ishami rya Stomatologiya, nibindi): Igihembwe; mugihe hakekwa ko icyorezo cyanduye mubitaro gifitanye isano nisuku yintoki zabakozi b’ubuvuzi, bigomba gukorwa mu gihe gikwiye kandi hagomba gupimwa mikorobe ziterwa na virusi.
(1) Gukurikirana ingaruka zanduza intoki: nyuma yisuku yintoki na mbere yo kuvugana nabarwayi cyangwa kwishora mubikorwa byubuvuzi
.
5. Gukurikirana ingaruka ziterwa no kwanduza ibintu
Ahantu hashobora kuba handuye hamwe n’ahantu handuye haranduye; ahantu hasukuye hagenwa hashingiwe kumiterere yikibanza; gutoranya bikorwa iyo bikekwa ko bifitanye isano n'indwara zanduye. (Amaraso yo kweza Amaraso 2010 Edition: Ukwezi)
6. Gukurikirana ingaruka zo kwanduza ikirere
(1) Amashami afite ibyago byinshi byo kwandura: buri gihembwe; ishami rishinzwe gukora (ibyumba) nahandi hantu hasukuye. Igenzura rigomba gukorwa mugihe cyo kwakira ubwubatsi bushya no kwiyubaka na nyuma yo gusimbuza filtri nziza cyane; gukurikirana bigomba gukorwa igihe icyo aricyo cyose mugihe hakekwa ko icyorezo cyanduye cyibitaro gifitanye isano n’umwanda. , no gukora ubushakashatsi bwerekana mikorobe ziterwa na virusi. Ishami rishinzwe kubaga isuku n’ahandi hantu hasukuye harebwa ko buri cyumba gisukuye gishobora gukurikiranwa byibuze rimwe mu mwaka
. ku byumba bidakoresha ikoranabuhanga risukuye kugira ngo bisukure umwuka, fata ingero nyuma yo kwanduza cyangwa guhumeka neza na mbere yo kwishora mu bikorwa by'ubuvuzi; cyangwa Icyitegererezo mugihe gikekwa ko gifitanye isano n'indwara ya nosocomial.
7. Gukurikirana ingaruka ziterwa no kwanduza ibikoresho: fata ingero nyuma yo kwanduza na mbere yo kuyikoresha.
Fata ibyitegererezo nyuma yo kwanduza na mbere yo kubikoresha.
8. Kumenya bagiteri zitera indwara:
Ubugenzuzi bwa buri munsi ntibukeneye kumenya mikorobe zitera indwara. Intego za mikorobe zigomba gupimwa mugihe hakekwa ko icyorezo cyanduye cyibitaro, mugihe iperereza ryanduye ryibitaro, cyangwa mugihe gikekwa ko cyanduye na bagiteri zimwe na zimwe zitera indwara.
9. Gukurikirana itara rya UV agaciro
Ibarura (rishya rishobora) + mukoresha
10. Kugenzura ibintu byangiritse hamwe nibikoresho byubuvuzi bikoreshwa
Ntabwo byemewe ko ibitaro bisanzwe bikora ubu bwoko bwo kwipimisha. Iyo iperereza ry epidemiologi rikeka ko ibyorezo byibitaro bifitanye isano nibintu byanduye, hagomba gukorwa ubugenzuzi bukwiye.
11.Gukurikirana bijyanye na hemodialyse
(1) Umwuka, hejuru n'amaboko: buri kwezi
. endotoxine (ubanza Kwipimisha bigomba gukorwa rimwe mu cyumweru, hanyuma bigahinduka byibura buri gihembwe nyuma y’ibisubizo bibiri byikurikiranya byujuje ibisabwa. Ikibanza cy’icyitegererezo ni iherezo ry’umuyoboro w’amazi wa osmose; niba umuriro, gukonja, cyangwa kubabara ingingo zo hejuru kuri uruhande rwinjira mumitsi rubaho mugihe ukoresheje dialyzer yongeye gukoreshwa, ikizamini kigomba gukorwa Ikizamini cya revers osmose amazi kugirango yongere akoreshwe); umwanda wanduye (byibuze buri mwaka); amazi yoroshye hamwe na chlorine yubusa (byibuze buri cyumweru);
(3) Umubare usigaye wa disinfectant wongeye gukoreshwa: dialyzer nyuma yo kongera gukoreshwa; niba umuriro, gukonja, cyangwa kubabara ingingo zo hejuru kuruhande rwamaraso yinjira mugihe ukoresheje dialyzer yongeye gukoreshwa, amazi ya osmose yinyuma kugirango yongere akoreshwe agomba gupimwa
.
(5) Dialysate: bagiteri (buri kwezi), endotoxine (byibuze buri gihembwe); buri mashini ya dialyse igeragezwa byibuze rimwe mumwaka
(6) Dialyzer: mbere yo kongera gukoreshwa (ikirango, isura, ubushobozi, igitutu, kwibanda kwa disinfectant yuzuye); nyuma ya buri gihe cyo kongera gukoresha (isura, fibre y'imbere, itariki izarangiriraho); mbere yo gukoresha (isura, ikirango, itariki izarangiriraho, amakuru yumurwayi, imiterere, kuba hari imyanda yangiza kandi umubare usigaye wa disinfectant nyuma yo koza). Mugukoresha (imiterere yubuvuzi bwumurwayi nibibazo)
.
12.Gukurikirana bijyanye no kwangiza
(1) Gukurikirana ubunini bwibintu bikora (mububiko no mugihe cyo gukoresha) buri gihe, kandi bigomba gukurikiranwa burimunsi kugirango bikoreshe;
.
13. Ikigo gitanga imiti yimitsi (icyumba)
. imbonerahamwe ikora ni urwego 100) mbere yuko ikoreshwa.
(2) Akayunguruzo ko mu kirere kagomba gusimburwa buri gihe ahantu hasukuye. Nyuma yo gusana ibintu bitandukanye bishobora kugira ingaruka ku isuku y’ikirere, bigomba kugeragezwa no kugenzurwa kugira ngo byujuje ubuziranenge bw’isuku mbere yuko byongera gukoreshwa.
(3) Umubare wa koloni ya bacteri mu kirere ahantu hasukuye ugomba kumenyekana buri kwezi.
. Akabati k'umutekano wibinyabuzima kagomba guhita gasimbuza karubone ikora ukurikije amabwiriza yo kugenzura byikora. Ibipimo bitandukanye byinama yumutekano wibinyabuzima bigomba kugeragezwa buri mwaka kugirango harebwe niba imikorere y’inama y’umutekano y’ibinyabuzima, kandi raporo y’ibizamini igomba gukizwa.
. ibipimo bitandukanye byintebe isukuye ya laminari itambitse bigomba kugeragezwa buri mwaka kugirango harebwe imikorere yimikorere yintebe isukuye, kandi raporo yikizamini igomba gukizwa;
14. Gukurikirana gukaraba no kwanduza imyenda yubuvuzi
Yaba ikigo cyubuvuzi cyogeje kandi cyanduza ubwacyo, cyangwa ikigo cyubuvuzi gishinzwe imirimo yo gukaraba no kwanduza indwara n’ikigo cyita ku bantu bashinzwe gukaraba, imyenda y’ubuvuzi nyuma yo gukaraba no kuyanduza cyangwa kwakira no gukaraba no kuyanduza igomba kugenzurwa buri gihe cyangwa rimwe na rimwe kubintu, ibibara hejuru, ibyangiritse, nibindi. Gukurikirana Microbiologique bikorwa buri gihe. Kugeza ubu nta mabwiriza ahuriweho yuburyo bwihariye bwo gupima no kugerageza.
Igihe cyo kohereza: Nzeri-21-2023
