加强供应室下收下送车辆的消毒与管理

目的控制医院供应室运输环节感染的发生，加强供应室下收下送车辆消毒的管理，确保无菌物品的灭菌有效、使用安全。方法洁车使用后内面使用500mg/L的有效氯制剂擦拭消毒，洁车外面使用1000mg/L的有效氯制剂擦拭消毒，使用前用紫外线灯照射1h；污车使用后，内、外面均使用1000mg／L的有效氯制剂擦拭消毒，并使用紫外线灯照射1h；车轮用清水冲洗后用1000mg／L的有效氯制剂擦拭消毒；车辆分别标明“洁”或“污”字样，严格分类使用，分类储存；车辆外以防水套覆盖，也标明“洁”或“污”字样。结果消毒后洁车细菌菌落≤5cfu／m^2，污车细菌菌落≤15cfu／m^2。结论有效氯消毒，加以紫外线灯照射车辆能够达到国家卫生部规定的无菌区、清洁区、污染区卫生标准。此方法简便、易行、经济、有效，是控制医院供应室运输环节的有效方法。

Reinforcement of disinfection and management of collecting and sending carts in the supply room

Objective To control the incidence of infection during transportation process of supply room, reinforce the management of collecting and sending carts in supply room and ensure the effect of disinfection and safety of use. Methods Available chlorine of 500 mg/L was used to disinfect the inner face of the clean carts, available chlorine of 1000 mg/L for the outer face,irradiation for 1 hour by ultraviolet lamp before use.The inner and outer faces of the dirty carts were disinfected by available chlorine of 1000 mg/L and irradiation for 1 hour by ultraviolet lamp.The wheels were flushed by clean water and then sterilized by available chlorine of 1000 mg/L. ＂Clean＂ or ＂dirty＇was indicated on the carts and they were strictly used and stored.The carts were covered with water-proof cloth,also indicated with ＂clean＇or ＂dirty＂. Results The bacterial colony was ≤5 cfu/m^2 after disinfection on the clean carts and ≤ 15 cfu/m^2 on the dirty carts. Conclusions Disinfection by available chlorine and irradiation by ultraviolet lamp can reach the standard of sterile area,clean area and contamination area set by the Ministry of Health.This method is an effective measure in the control of transportation process of supply room with simple, feasible,economical and effective characteristics.