冯主任，您是指P97页中的内容吗？本页的确没有参考《医院消毒卫生标准》的流程，而是参考了参考文献所注的美国CDC相应指南。
For site decontamination of spills of blood or other potentially infectious materials (OPIM),
implement the following procedures. Use protective gloves and other PPE (e.g., when sharps
are involved use forceps to pick up sharps, and discard these items in a puncture-resistant
container) appropriate for this task. Disinfect areas contaminated with blood spills using an EPA-
registered tuberculocidal agent, a registered germicide on the EPA Lists D and E (i.e., products
with specific label claims for HIV or HBV or freshly diluted hypochlorite solution. Category II, IC.
214, 215, 557, 1013
If sodium hypochlorite solutions are selected use a 1:100 dilution (e.g., 1:100
dilution of a 5.25-6.15% sodium hypochlorite provides 525-615 ppm available chlorine) to
decontaminate nonporous surfaces after a small spill (e.g., <10 mL) of either blood or OPIM. If a
spill involves large amounts (e.g., >10 mL) of blood or OPIM, or involves a culture spill in the
laboratory, use a 1:10 dilution for the first application of hypochlorite solution before cleaning in
order to reduce the risk of infection during the cleaning process in the event of a sharp injury.
Follow this decontamination process with a terminal disinfection, using a 1:100 dilution of sodium
hypochlorite. Category IB, IC
该指南这样做的理由是减少清理过程中的职业暴露风险。在编写本书的过程中，究竟是参考国内规范，还是国际上的指南，达成的共识是参考国际上的指南，否则不会有进步。本书不是教科书，仅供参考！ |
发表于 2015-7-24 11:05
发表于 2015-7-24 11:17
发表于 2015-7-24 14:29
