Abstract:Objective To investigate the hygienic condition of clean operating laboratories of reproductive centers and the main influencing factors in Hunan Province so as to promote the monitoring and management of environment of clean operating laboratories. Methods During 2013-2015 in Hunan Province, we conducted a survey of technical indicators (including degree of cleanness, average concentration of airborne bacteria, ventilation rate, static differential pressure, temperature, humidity, noise and operating luminance) in 35 clean operating laboratories of 7 reproductive centers under the static condition according to Architectural Technical Code for Hospital Clean Operating Department (GB50333-2013). Results The comprehensive qualified rates of environment of clean operating laboratories showed a decreasing tendency with the increasing use life of the laboratories (χ2=8.146, P=0.04). The environmental qualified rates of 1 year, 2 and ≥3 years of use life were 60%, 42.68% and 20% respectively. The qualified rate of degree of cleanness was the lowest (64.44%), followed by static differential pressure (75.56%), average concentration of airborne bacteria (81.11%), ventilation rate (84.44%), humidity (88.89%), noise (92.22%), operating luminance (92.22%) and temperature (95.56%). Regression analysis showed that the average concentration of airborne bacteria (OR=29.814, 95.0%CI:1.374-646.799, P=0.031) and ventilation rate (OR=59.271, 95.0%CI:3.141-1,118.263, P=0.006) were the main factors influencing the environmental qualitied rate of the clean operating laboratories. Conclusions The environmental qualitied rates of clean operating laboratories of 7 reproductive centers in Hunan Province during 2013-2015 were decreased with the increasing use life of the laboratories. The average concentration of airborne bacteria and ventilation rate are the major factors impacting the environmental qualified rates of the clean operating laboratories in this investigotion.
[1] 中华人民共和国国家卫生和计划生育委员会.GB50333-2013医院洁净手术部建筑技术规范[S].北京:中国建筑工业出版社,2013. [2] 杨新文,郑莉,吴传业,等.湖南省直医院洁净手术室综合性能的检测与评价[J].环境与健康杂志,2008,25(4):331-333. [3] 张晓霞,石嵩,张婉菁.生殖中心手术室医院感染的控制与体会[J].天津护理, 2014,22(4):327. [4] 徐火炬,陈云峰. 高中效过滤、高强度紫外线和动态离子杀菌组合空气卫生工程新技术在手术室的应用[J].现代医院,2011,11(2):139-147. [5] 王燕, 张爱华. 手术室管理对手术切口感染的影响与控制[J]. 实用预防医学, 2013,20(9):1022-1025. [6] 张建鹏,宋曼丹,李涛,等.广东省26家医院手术室空气洁净度检测结果分析[J].华南预防医学,2004,30(1):33-35. [7] Gillespie E, Brown R, Treaqus D, et al.Improving operating room cleaning results with microfiber and steam technology[J]. Am J Infect Control, 2015, 15:933-935. [8] 俞莉, 刘雪春, 胡晓莉, 等. 酸性氧化电位水用于洁净手术室消毒效果的观察[J]. 实用预防医学, 2011,18(9):1101-1102. [9] 魏先,阳世伟,秦超,等. 层流手术室动态环境中不同时间空气含菌量的研究[J].中华医院感染学杂志, 2005, 15(8):900-902. [10] Erichsen Andersson A, Petzold M, Bergh I, et al. Comparison between mixed and laminar airflow systems in operating rooms and the influence of human factors:experiences from a Swedish orthopedic center [J]. Am J Infect Control, 2014, 42(6):665-669. [11] 严琦瑞,罗茜,薛计泉,等.2013年惠州市、区两级医院洁净手术室监测结果的调查分析[J].国际医药卫生导报,2014,15(20):2396-2399. [12] 任建军. 洁净手术室的空气监测与管理进展[J].上海护理,2011,11(4):257-259.