Cov Ntaub Thaiv Tsev Kho Mob Uas Siv Pov Tseg: Cov Lus Qhia Yooj Yim Rau Kev Txhim Kho Thiab Kev Txij Nkawm Rau Cov Tsev Kho Mob

Tsev Kho Mob Cov Ntaub Thaiv Kev Ceev Ntiag Tug raug kov ntau zaus, hloov pauv thaum muaj kev nyuaj siab, thiab feem ntau tsis quav ntsej txog thaum lawv dhau los ua qhov teeb meem rau cov pab pawg tu lossis kev txhawj xeeb txog kev tiv thaiv kev kis kab mob. Thaum cov chaw kho mob sib npaug ntawm cov neeg mob, kev txo qis HAI, kev txwv kev ua haujlwm, thiab lub hom phiaj kev ruaj khov,siv ib zaug xwb Cov Ntaub Thaiv Qhov Rooj muab lwm txoj hauv kev siv tau zoo rau cov ntaub ntxhua khaub ncaws hauv qhov chaw zoo. Lawv tus nqi nyob ntawm ntau dua li tus nqi ib chav: qhov hnyav ntawm cov khoom siv, daim ntawv pov thawj kev nyab xeeb hluav taws, kev thov tshuaj tua kab mob, cov khoom siv teeb tsa, cov sijhawm hloov pauv, thiab kev tswj cov khib nyiab txhua yam cuam tshuam rau kev ua tau zoo thiab tus nqi. Phau ntawv qhia no piav qhia txog yuav ua li cas cov tsev kho mob tuaj yeem soj ntsuam, teeb tsa, thiab tswj cov ntaub thaiv pov tseg nrog kev tsom mus rau kev nyab xeeb, kev ua raws li txoj cai, thiab kev ua haujlwm zoo.

Vim li cas cov ntaub thaiv tsev kho mob pov tseg thiaj tseem ceeb

Kev hloov pauv ntawm cov ntaub woven ib txwm mus rau cov ntaub thaiv qhov rai hauv tsev kho mob siv ib zaug xwb sawv cev rau kev hloov pauv tseem ceeb hauv kev tswj hwm chaw kho mob. Thaum cov tsev kho mob ntsib kev nyuaj siab ntxiv kom ua kom cov neeg mob tuaj yeem siv tau zoo dua, txo qhov kev ua qias tuaj ntawm ib puag ncig, thiab tswj cov peev nyiaj ua haujlwm uas txwv, cov thawj coj ntawm chaw kho mob tab tom xav txog lwm txoj hauv kev siv pov tseg kom yooj yim rau kev ua haujlwm txhua hnub thiab txhawb nqa cov txheej txheem kev nyab xeeb hauv chaw kho mob.

Kev Txhais Lus Hauv Kev Kho Mob thiab Cov Ntaub Ntawv Siv

Ua los ntawm cov polypropylene tsis-woven (Hom 5 yas), cov teeb meem pov tseg muab kev ceev ntiag tug tam sim ntawd yam tsis muaj kev cuam tshuam ntawm kev ntxuav khaub ncaws hauv kev lag luam. Cov qauv txheem feem ntau ntsuas qhov hnyav ntawm cov khoom siv ntawm 100 thiab 120 grams ib square meter (gsm) kom ntseeg tau tias muaj qhov tsis pom tseeb thiab lub zog tensile txaus.

Cov ntaub thaiv no feem ntau siv rau hauv cov chav kho mob hnyav (ICUs), chav kho mob thaum muaj xwm txheej ceev, thiab chav cais tawm, qhov twg xav tau kev hloov chav sai sai. Qhov xwm txheej hydrophobic ntawm cov polypropylene tsis yog woven tiv thaiv cov kua dej hauv lub cev, tiv thaiv cov neeg ua haujlwm thaum lub sijhawm ua cov txheej txheem aerosol. Txawm li cas los xij, cov chaw yuav tsum ntsuas qhov cuam tshuam rau ib puag ncig: cov ntaub thaiv qhov rai polypropylene kho mob Feem ntau tsis siv tau dua hauv cov khib nyiab ib txwm muaj. Yog li ntawd, kev hloov mus rau cov kev xaiv siv ib zaug xwb tuaj yeem ua rau lub chaw pov tseg ntau ntxiv yog tias cov kev pab cuam rov ua dua tshiab hauv zos tsis muaj. Hauv cov chaw qis dua lossis cov chaw uas muaj cov khoom siv ntxuav tau zoo thiab ruaj khov, cov ntaub thaiv qhov rai uas siv tau dua ib txwm yuav tseem zoo dua los txo cov khib nyiab yas thiab cov nqi yuav khoom tas mus li.

Kev Tswj Kab Mob thiab Cov Tsav Tsheb Lag Luam

Ib qho tseem ceeb ntawm kev siv tshuaj rau kev kho mob kev daws teeb meem ntiag tug pov tseg yog kev txo cov kab mob cuam tshuam nrog kev kho mob (HAIs). Cov kab mob xws li Clostridioides difficile thiab tiv taus Methicillin Staphylococcus aureus (MRSA) tuaj yeem nyob tau rau ntawm cov ntaub ib txwm muaj rau lub sijhawm ntev. Los ntawm kev siv Cov ntaub thaiv qhov rais hauv tsev kho mob rau kev nyab xeeb ntawm tus neeg mob, cov chaw tuaj yeem txo cov kev pheej hmoo cuam tshuam nrog kev ntxuav tsis tiav thiab kev thauj cov ntaub pua chaw qias neeg.

Nyiaj txiag, qhov kev hloov pauv no hloov cov nuj nqis los ntawm kev ntxuav khaub ncaws tas li mus rau kev yuav khoom tas mus li thiab pov tseg cov khib nyiab. Txawm hais tias cov hooks thauj khoom sai tuaj yeem txo lub sijhawm ntxuav qhov chaw nres tsheb thiab txuag tau cov neeg ua haujlwm, cov thawj coj ntawm cov khoom xa tuaj yuav tsum tshuaj xyuas cov kev hloov pauv no kom zoo zoo. Cov kev xaiv siv ib zaug xwb tsis txo tus nqi tag nrho ntawm kev muaj piv rau cov ntaub siv rov qab tau.

Yuav Ua Li Cas Piv Cov Ntaub Thaiv Tsev Kho Mob Uas Siv Ib Zaug Xwb

Kev xaiv qhov system faib uas tsim nyog yuav tsum tau soj ntsuam txog kev tshawb fawb txog cov khoom siv, kev ua raws li txoj cai, thiab cov nqi siv tas mus li. Cov pab pawg yuav khoom yuav tsum saib dhau qhov nqi pib ntawm cov khoom kom ntsuas tau tus nqi tag nrho, kev cuam tshuam rau ib puag ncig, thiab kev nyab xeeb ntawm cov khoom.

Cov Qauv Txog Npuag, Tshuaj Tua Kab Mob, thiab Kev Nyab Xeeb Hluav Taws

Nyob ntawm cov cai hauv cheeb tsam, cov ntaub thaiv kev kho mob yuav tsum ua raws li cov qauv kev nyab xeeb hluav taws tshwj xeeb, xws li dhau NFPA 701 lossis BS 5867 Ntu 2 Hom C kev ntsuam xyuas kev kub hnyiab. Nws yog ib qho tseem ceeb kom paub tseeb tias cov ntawv pov thawj no, vim tias kev ua raws li qhov sib txawv ntawm thaj chaw thiab cov khoom. Cov neeg yuav khoom yuav tsum thov cov ntawv qhia kev xeem ywj pheej, sab nraud es tsis txhob xav tias ua raws li thoob ntiaj teb. Tsis zoo li cov ntaub ib txwm muaj uas yuav poob cov khoom tiv taus hluav taws tom qab ntxuav dua, cov kev xaiv zoo hluavtaws feem ntau raug kho thaum lub sijhawm extrusion kom tswj tau kev tiv thaiv hluav taws mus tas li.

Tsis tas li ntawd xwb, qee cov qauv siv cov thev naus laus zis tua kab mob, xws li kev kho mob silver-ion, uas tsim los txo cov kab mob. Qhov tseem ceeb, cov kev kho mob no tsis hloov cov kev hloov pauv raws sijhawm lossis kev tua kab mob ntawm qhov chaw ib txwm muaj. Cov neeg yuav khoom yuav tsum paub tseeb tias txhua qhov kev thov kom ua tau zoo tau txhawb nqa los ntawm cov ntaub ntawv tshwj xeeb ntawm cov khoom thiab ua raws li EPA lossis cov kev cai rau npe hauv cheeb tsam sib npaug.

Daim Ntawv Teev Cov Kev Sib Piv Txog Kev Yuav Khoom Hauv Tsev Kho Mob

Yuav kom ua tau raws li qhov yuav tsum tau ua, cov pawg neeg yuav khoom yuav tsum siv cov txheej txheem sib piv los ntsuas cov ntsuas kev ua haujlwm piv rau cov kev xaiv ntaub ib txwm muaj. Cov npe hauv qab no qhia txog qhov sib txawv ntawm kev tswj hwm lub neej thiab kev faib cov peev txheej, txawm hais tias cov lej tseeb yuav txawv ntawm qhov chaw thiab cov khoom.

Los ntawm kev tshuaj xyuas cov kev ntsuas no, cov thawj coj ntawm cov khoom xa tuaj yeem kwv yees tau meej dua txog tus nqi tag nrho ntawm kev muaj. Cov chaw tsim khoom yuav tsum sib npaug ntawm cov peev txheej pib siab dua thiab cov nqi ntxuav khaub ncaws ntawm cov ntaub thaiv qhov rai ib txwm muaj piv rau kev yuav khoom tas mus li thiab kev tswj hwm pov tseg ntawm cov kev xaiv pov tseg.

Cov Kev Xyaum Zoo Tshaj Plaws rau Kev Teeb tsa thiab Kev Txij Nkawm

Kev ua tiav ntawm kev ua haujlwm ntawm cov khoom faib pov tseg vam khom rau cov txheej txheem teeb tsa tus qauv thiab kev sib koom tes zoo ntawm cov kev pabcuam ib puag ncig (EVS) thiab cov chaw tiv thaiv kev kis kab mob. Kev tsim kom muaj cov txheej txheem ua haujlwm kom meej, rov ua dua tau ua kom ntseeg tau tias cov txiaj ntsig kho mob ntawm cov khoom tau pom tseeb.

Cov Txheej Txheem Kev Teeb Tsa Sai rau Cov Pab Pawg Chaw

Ntau niaj hnub cov ntaub thaiv kev ceev ntiag tug hauv tsev kho mob tau tsim los rau kev xa tawm sai, siv cov hlua khi lossis cov kab ke U-hook uas npaj los sib xyaw nrog cov khoom siv hauv qab nthab uas twb muaj lawm. Txawm li cas los xij, cov hlua khi "universal" yuav tsis haum rau txhua lub tshuab khiav, thiab qee cov ntaub thaiv qhov rai uas siv tau dua kuj muaj cov khoom siv hloov pauv sai; yog li ntawd, kev tshuaj xyuas txoj kev khiav dav dav yuav tsum ua ntej yuav khoom. Cov pab pawg hauv chaw ua haujlwm yuav tsum cob qhia cov neeg ua haujlwm EVS ntawm cov lus qhia ib kauj ruam zuj zus kom ntseeg tau tias kev xa tawm raug:

1. Tshawb xyuas: Xyuas kom tseeb tias txoj kev ruaj khov thiab xyuas kom meej tias hom hook raug xaiv rau txoj kev tsheb ciav hlau uas twb muaj lawm.
2. Sib dhos: Tshem daim ntaub thaiv qhov rais thiab teeb cov hooks uas thauj khoom sai rau qhov chaw ntxig txoj kab.
3. Roob: Ntxig cov hooks rau hauv txoj kab sib law liag, xyuas kom meej tias daim ntaub thaiv du thiab tsis ntes tau.
4. Xyuas kom tseeb: Xyuas kom tseeb tias daim ntaub thaiv hauv pem teb huv si kom tiv thaiv kev phom sij ntawm kev ntog thiab muab kev npog tag nrho rau tus neeg mob.

Nyob rau hauv cov txheej txheem zoo tshaj plaws, cov kws kho tshuab tuaj yeem hloov pauv cov ntaub thaiv qhov rai uas muaj kuab paug sai sai. Lub peev xwm hloov pauv zoo no muaj txiaj ntsig zoo thaum lub caij ntuj no lossis cov xwm txheej sib kis hauv zos, ua kom ntseeg tau tias cov txaj pw tsis raug ncua los ntawm kev saib xyuas kev ceev ntiag tug.

Kev Sib Koom Tes Txog Kev Yuav Khoom Thiab Kev Tiv Thaiv Kab Mob

Kev tswj lub neej zoo yuav tsum muaj kev sib koom tes zoo ntawm cov thawj coj kev xa khoom thiab cov kws tshaj lij tswj kev kis kab mob. Cov chaw kho mob yuav tsum siv cov sijhawm hloov pauv nruj raws li qhov mob hnyav ntawm chav kho mob, tus nqi ntawm cov neeg mob tawm hauv tsev kho mob, thiab cov lus qhia ntawm cov chaw tsim khoom. Piv txwv li, cov ntaub thaiv qhov rai siv ib zaug xwb rau cov chaw kho mob thiab cov chav kho mob feem ntau cov chaw pw hauv tsev kho mob feem ntau teem sijhawm hloov pauv txhua ob peb lub hlis, thaum cov chaw xa mus rau hauv cov chav hlawv, chav kho mob qog nqaij hlav, lossis chav cais neeg mob feem ntau yuav tsum tau muab pov tseg tam sim ntawd thaum tus neeg mob tawm hauv tsev kho mob.

Yuav kom ua raws li cov txheej txheem no, cov pab pawg saib xyuas tuaj yeem siv cov ntawv lo tshuaj xyuas uas tau luam tawm rau ntawm ntau lub taub hau ntaub thaiv qhov rais.

Cov Ntsiab Lus Tseem Ceeb

• Xaiv cov ntaub thaiv qhov rais polypropylene uas tsis yog ntaub npog li ntawm 100–120 gsm thaum xav tau qhov pom tseeb, lub zog, thiab kev nthuav dav sai hauv cov chaw kho mob.
• Muab cov ntaub thaiv qhov rai pov tseg tso rau hauv ICUs, chav kho mob thaum muaj xwm txheej ceev, thiab chav cais tawm uas qhov kev hloov pauv sai thiab kev tswj kev kis kab mob yog qhov tseem ceeb rau kev ua haujlwm.
• Thov cov ntawv qhia txog kev sim kev nyab xeeb hluav taws uas ywj pheej, xws li kev ua raws li NFPA 701 lossis BS 5867, ua ntej pom zoo rau cov khoom siv ntaub thaiv qhov rai rau kev siv hauv tsev kho mob.
• Kho cov lus thov tiv thaiv kab mob ua ib qho kev ntxiv rau cov txheej txheem tswj kev kis kab mob, tsis yog hloov chaw rau kev hloov pauv ntaub thaiv qhov rai thiab kev tua kab mob ntawm qhov chaw.
• Xam tag nrho tus nqi ntawm kev muaj los ntawm kev suav nrog kev yuav khoom, kev txuag nyiaj ua haujlwm, kev zam kev ntxuav khaub ncaws, kev khaws cia, kev pov tseg pov tseg, thiab kev cuam tshuam rau ib puag ncig.
• Ua ntej yuav siv cov ntaub thaiv polypropylene ntau, yuav tsum tau soj ntsuam seb puas muaj cov khib nyiab kho mob ntau ntxiv.

Cov Lus Nug Feem Ntau

Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg lawm yog ua los ntawm dab tsi?

Feem ntau yog ua los ntawm cov polypropylene tsis-woven, feem ntau nyob ib ncig ntawm 100–120 gsm, los muab kev ntiag tug, kev pom tseeb, thiab lub zog tensile txaus rau kev siv hauv tsev kho mob.

Cov ntaub thaiv kev ceev ntiag tug uas siv pov tseg tau qhov twg muaj txiaj ntsig zoo tshaj plaws?

Lawv muaj txiaj ntsig tshwj xeeb hauv ICUs, chav kho mob thaum muaj xwm txheej ceev, chav cais tawm, thiab lwm qhov chaw muaj neeg mob ntau uas hloov chav sai thiab tswj kev ua qias tuaj yog qhov tseem ceeb.

Cov ntaub thaiv qhov rais uas siv pov tseg puas pab txo qhov kev pheej hmoo ntawm kev kis kab mob?

Lawv tuaj yeem txhawb nqa cov txheej txheem tswj kev kis kab mob los ntawm kev tshem tawm cov qhov sib txawv ntawm kev ntxuav thiab txo kev sib cuag nrog cov ntaub uas muaj kuab paug, tshwj xeeb tshaj yog qhov chaw uas muaj teeb meem nrog cov kab mob xws li MRSA lossis C. difficile.

Cov ntaub thaiv qhov rais uas siv pov tseg lawm puas tsis tas yuav saib xyuas?

Tsis yog. Kev kho mob tua kab mob yuav txo tau cov kab mob, tab sis lawv tsis hloov cov kev hloov pauv uas tau teem sijhawm, kev ntxuav tas li, lossis cov txheej txheem tswj kev kis kab mob uas tau sau tseg.

Cov tsev kho mob yuav tsum kuaj xyuas cov qauv kev nyab xeeb hluav taws twg?

Cov chaw ua haujlwm yuav tsum thov cov ntawv qhia kev xeem los ntawm cov neeg thib peb rau cov qauv siv tau xws li NFPA 701 lossis BS 5867 Ntu 2 Hom C, nyob ntawm seb cheeb tsam xav tau dab tsi.