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止血带污染产生的原因

  以往国内医院使用的胶管型止血带,存在交叉使用,反复使用,保管随意,不消毒或消毒不彻或消毒闇隔过长等普遍现象,造成止血带污染严重等共性问题。具体表现为: 1、止血带拾的病原菌远超出《医院消毒卫生标准》(GB15982—1995)4.2.3所规定的“接触皮肤的医疗用品细菌菌落总数应≤200cfu/g或100平方厘米:致病性微生物不得检出”要求,且检验出条件致病菌(对此国内大量文献有报道)。 2、未按《医院感染管理办法》第三章第十二条(中华人民共和国卫生部48号令)要求的“接触皮肤、粘膜的医疗器械、器具和物品必须达到消毒水平;各种用于穿刺、采血等有创操作的医疗器具必须一用一灭菌”的相关规定操作。 3、有研究表明,扁形止血带比圆型止血带能更好的减轻患者疼痛,提高穿刺成 功率。受国际化影响,国内一次性止血带的应用范围也将逐渐从以往军用或野外“应急”止血使用向“常规”治疗输液、抽血,止血时使用过渡。
  In the past, rubber hose tourniquets used in domestic hospitals had common problems, such as cross-use, repeated use, random storage, no disinfection or inadequate disinfection or too long hidden sterilization, which caused serious pollution of tourniquets. Specific manifestations are as follows: 1. The pathogenic bacteria collected by tourniquet far exceed the requirement of "the total number of bacterial colonies in medical articles contacting skin should be less than 200 cfu/g or 100 square centimeters: pathogenic microorganisms should not be detected" stipulated in "Hospital Disinfection Hygiene Standard" (GB15982-1995), and conditional pathogenic bacteria can be detected (which has been reported in a large number of domestic literatures). 2. Medical instruments, instruments and articles contacting skin and mucosa must reach disinfection level, and all kinds of medical instruments used for invasive operations such as puncture and blood collection must be sterilized in one use, which are not required by Article 12 of Article 3 of the Regulations on Hospital Infection Management (Decree No. 48 of the Ministry of Health of the People's Republic of China). 3. Studies have shown that flat tourniquet is better than round tourniquet in alleviating pain and improving the success rate of puncture. Influenced by internationalization, the scope of application of disposable tourniquet in China will gradually change from military or field "emergency" hemostasis to "routine" treatment of transfusion, bleeding, hemostasis.