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。 | 
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