请问手术室手术室病人进门时，需要地垫吗，地垫有要求吗
请问手术室手术室病人进门时，需要地垫吗，地垫有要求吗 不需要地垫。{:1_12:} 没有看到有文件规定要用地垫，其实我个人认为用地垫反而容易藏污纳垢，增加清洁的工作量 那地垫起到什么作用呢？地垫还是藏污纳垢的好东西呢，使用它不是间接增加院内感染机率么{:1_1:} 手术病人进手术室可以换鞋和或戴鞋套、用手术平车推送，使用地垫是不合适的， 不用使用地垫，又是一个污染源 地垫已经淘汰了。包括手术室交换车也有质疑。 本帖最后由 胡杨 于 2015-12-2 10:22 编辑请问进入手术室，使用地垫有好处吗？
Guideline for Prevention of Surgical Site Infection, 1999
From the Hospital Infections Program National Center for Infectious Diseases Centers for Disease Control and Prevention Public Health Service U.S. Department of Health and Human Services
3. Operative characteristics: Intraoperative
issues
a. Operating room environment
（2）Environmental surfaces
Environmental surfaces in U.S. operating rooms (e.g., tables, floors, walls, ceilings, lights) are rarely implicated as the sources of pathogens important in the development of SSIs. Nevertheless, it is important to perform routine cleaning of these surfaces to reestablish a clean environment after each operation. 180,212,300,302 There are no data to support routine disinfecting of environmental surfaces or equipment between operations in the absence of contamination or visible soiling. When visible soiling of surfaces or equipment occurs during an operation, an Environmental Protection Agency (EPA)-approved hospital disinfectant should be used to decontaminate the affected areas before the next operation. 180,212,300-302,313-315 This is in keeping with the Occupational Safety and Health Administration (OSHA) requirement that all equipment and environmental surfaces be cleaned and decontaminated after contact with blood or other potentially infectious materials. 315 Wet vacuuming of the floor with an EPA-approved hospital disinfectant is performed routinely after the last operation of the day or night. Care should be taken to ensure that medical equipment left in the operating room be covered so that solutions used during cleaning and disinfecting do not contact sterile devices or equipment. 316 There are no data to support special cleaning procedures or closing of an operating room after a contaminated or dirty operation has been performed. 300,301 Tacky mats placed outside the entrance to an operating room/suite have not been shown to reduce the number of organisms on shoes or stretcher wheels, nor do they reduce the risk of SSI. 1,179,295.
美国CDC手术部位感染（SSI）预防指南---
B、环境表面的清洗和消毒1. 当术中有明显污物混合血液或其他体液污染房间表面或器械设备时，在下一台手术之前，使用经EPA核准的医院用消毒剂清洗污染区域。2. 污染手术后不要作特殊清洗或关闭手术室。
3. 不要在手术室或手术间门口铺粘性垫子作为控制感染的手段。
4. 每天或每晚最后一台手术后，使用EPA核准的医院用消毒剂，以及水冲洗和真空吸尘器打扫手术室地面。5. 两台手术之间，若无明显污物污染，不建议对手术室环境表面或使用的器械设备进行清洗消毒。 一般是不赞成用地垫的，但是也没有明确的规范说不能用。 赞同不要在手术部门前铺粘性垫子作为控制感染的手段。 不要在手术室或手术间门口铺粘性垫子作为控制感染的手段 同意楼上老师的意见，不建议使用地垫。
印象中听专家讲课时铺地垫是做为一个错误例举的，{:1_1:} 赞同老师们的意见，不建议使用地垫。{:1_1:} 不合适，地垫上、下面会贮存很多细菌 不赞同使用地垫{:1_12:} 看看胡杨老师的回答，手术室也没必要过分消毒。 不能用地垫，因为容易污染，难清洁，反而增加感染风险 认真学习了各位老师的观点，谢谢 手术部位感染的外源性污染来源主要是手术器械、工作人员的手以及空气传播。空气传播的细菌是由手术室内医务人员的皮肤和毛发携带的，所以对空气污染的控制主要是手术衣、帽子以及空气净化系统的使用
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