1)手术物品的灭菌是控制感染的重要对策之一。净化铝材配件原则上用高压蒸汽灭菌，对于不能耐髙温、耐湿的物品首选环氧乙烷，环氧乙烷是有效的低湿灭菌的物品（橡胶类、塑料类）最佳消毒方法。对于显微器械、腹腔镜、膀胱镜、纤维肠镜等髙危险度手术用品的消毒采用质量分数为2%的戊二醛浸泡，且要大于30min，如需灭菌必须浸泡大于10h,每次灭菌前必须用浓度指示卡检测其最低的有效浓度（一般要求大于1.5%)。医院应对各科室使用的各种消毒液进行严格监控，器械浸泡液由院制剂室统一配制、医院感室监控，在使用过程中严格掌握浸泡时间、浓度，消毒液应定期更换。灭菌包的内外均放置3cm灭菌指示卡和灭菌指示胶带，且保证在有效期限内使用。熏蒸消毒以福尔马林化学反应法和自然挥发法联合应用，熏蒸消毒的手术物品必须在6h后方可使用，所有无菌物品要每月采样作细菌培养。

 

(1) sterilization is one of the important measures to control the infection. Purification of aluminum accessories principle with high-pressure steam sterilization, for not resistant high temperature and humidity items preferred epoxy ethane, ethylene oxide is effective humidity sterilization items (rubber, plastic) the best disinfection method. For the disinfection of instruments for microsurgery, laparoscopic, cystoscopy, fiber colonoscopy high risk operation activities by mass fraction of 2% glutaraldehyde, and to more than 30 minutes, such as sterilization needs must soak for more than 10 hours, every time before sterilization must concentration indicator card detected the lowest effective concentration (typically requires more than 1.5%). Hospitals should be used in all departments to carry out a variety of disinfection liquid for strict monitoring, equipment immersion liquid prepared by the hospital preparation room, the hospital room monitoring, in the use of the process to strictly grasp the immersion time, concentration, disinfection liquid should be regularly replaced. The sterilization bags are placed inside and outside the 3cm sterilization indicator card and sterilization indicating tape, and guarantee the use of the effective period. Fumigation to formalin chemical reaction method combined with natural volatilization, fumigation operation items must be at the rear of the 6h, all sterile articles to monthly sampling for bacterial culture.

 

(2)一次性手术用品应专柜存放，离地面30cm,柜内清洁干燥，通风良好，室内空气含菌量小于或等于200CFU?m3,温度与湿度要适中，要定期进行空气消毒；要专人管理一次性手术用品的计划、领取，每日清洁货架、贮物箱、检查手术用品的外包装有无破损、霉变、有效日期及数量，按日期先后顺序发放使用，并及时反馈一次性无菌物品的使用情况。手术后未开启包装的无菌物品应重新消毒后，给下一台手术使用，不再收回贮存间，避免污染贮物箱内的其他物品。

 

(2) disposable surgical activities should counter storage, off the ground 30cm, the cabinet in a clean, dry, well ventilated, indoor air containing bacteria amount less than or equal to the 200CFU? M3, temperature and humidity should be moderate, regular air disinfection; plans to personnel management, one-time operation activities, receive, daily cleaning of the shelf, storage bins, check operation activities outside of the packaging with and without damage, mildew, effective date and quantity, by date sequence distribution and use, and timely feedback the use of disposable sterile items. After the operation is not open the packaging of sterile items should be disinfected, to the next operation, no longer to recover the storage room, to avoid contamination of other items in the storage box.

 

(3)无菌持物钳消毒方法改进手术室无菌持物钳经历了由“湿置—干置—取消”的改进，其方法效果可靠、方便、节省成本。取消无菌持物钳与使用传统干、湿无菌持物钳对照监测结果表明，效果明显优于干、湿两组，差异有显著性。干置无菌持物钳使用1～4h，合格率为100%，超过4h则有污染，须在4h内更换无菌持物钳，而湿置无菌持物钳由于使用质量分数为2%的戊二醛消毒液，因此成本高。因此采用取消无菌持物钳属于最佳方法，方法简便易行，只需将手术室的物品单独打包高压灭菌。采取取消无菌持物钳减少了污染环节，使无菌物品免受二次污染，也降低了净化铝材配件 http://www.jnjkjh.com/ 的成本。所以取消无菌持物钳非常符合净化室感染要求及科室经济管理。

 

(3) the improvement of the sterile holding forceps in the operation room has been improved by the method of "wet dry", and the method is effective, convenient and cost saving. The results showed that the effect of the control on the use of sterile holding forceps and the traditional dry and wet aseptic holding forceps was significantly better than that of the dry and wet two groups. Dry sterile holding forceps using 1 ~ 4h, the qualified rate of 100%, more than 4h, there is pollution, must be replaced in 4H sterile holding forceps, and wet aseptic holding forceps due to the use of 2% glutaraldehyde disinfection liquid, so high cost. Therefore, the use of the abolition of sterile holding forceps is the best method, the method is simple and easy to use, only the operation room of the article packaged separately packaged high pressure sterilization. Take the abolition of sterile holding forceps to reduce the pollution of the link, so that sterile items from the two pollution, but also to reduce the cost of cleaning aluminum parts. So the abolition of sterile holding forceps is very much in line with the requirements of the clean room and economic management.