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随着医学科学的进步和人类寿命的延长,各种慢性病、肿瘤及免疫缺陷患者不断增多,免疫抑制剂、广谱抗生素、放疗以及侵袭性医疗措施的广泛应用,使得医院感染的防控工作面临着很大的挑战。及时发现和正确诊断医院感染是治疗医院感染的前提,是做好医院感染前瞻性监测、早期预防和早期干预的基本条件,是医院感染暴发控制的关键。
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可重复使用的医疗器械使用后应按照去污染-酶洗-清洗-消毒-干燥-润滑-灭菌的程序进行处理。
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院内感染的各特征相互联系、相互促进,对其判定是一个综合分析的过程。因此,临床医生应尽早区分医院感染与社区感染,及早确定治疗方案,同时在诊疗过程中,应注意以下原则:
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医院采购一次性使用无菌医疗用品,必须从取得省级以上药品监督管理部门颁发的《医疗器械生产企业许可证》、《工业产品生产许可证》、《医疗器械产品注册证》和卫生行政部门颁发卫生许可批件的生产企业或取得《医疗器械经营企业许可证》的经营企业购进合格产品;进口的一次性导管等无菌医疗用品应具有国务院药品监督管理部门颁发的《医疗器械产品注册证》。
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中度危险性物品即半关键性物品,是指仅和皮肤粘膜相接触,而不进入无菌组织内的物品。主要包括普通内镜(胃镜、肠镜、气管镜、尿道镜及其他接触体腔的内镜)、呼吸机、麻醉机管道、压舌板、口罩、口腔诊具、体温计等。中度危险性物品必须进行严格消毒。