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Tsev Kho Mob Cov Ntaub Thaiv Kev Ceev Ntiag Tug raug kov ntau zaus, ntxuav tsis tu ncua, thiab nyob ze rau cov neeg mob uas tsis muaj zog - ua rau lawv ntau dua li kev txiav txim siab yooj yim txog kev kho kom zoo nkauj. Rau cov thawj coj, cov pab pawg tiv thaiv kev kis kab mob, thiab cov thawj coj kev yuav khoom, qhov kev xaiv ntawm cov ntaub thaiv qhov rai pov tseg thiab cov ntaub thaiv qhov rai siv tau dua cuam tshuam raukev nyab xeeb ntawm tus neeg mob, cov nqi khiav lag luam, kev ua raws li txoj cai, thiab kev ruaj khovCov ntaub uas siv tau dua tshiab tuaj yeem muab lub neej ntev thaum cov tshuab ntxhua khaub ncaws txhim khu kev qha, thaum cov ntaub thaiv qhov rai uas tsis yog ntaub uas siv pov tseg txo lub sijhawm tig rov qab hauv cov chaw kho mob uas muaj kev pheej hmoo siab. Tsab xov xwm no piv ob qho kev xaiv los ntawm lub lens ntawm kev tswj kev kis kab mob, cov qauv kev nyab xeeb hluav taws, tus nqi siv tau ntev, kev cuam tshuam rau ib puag ncig, thiab kev ua haujlwm txhua hnub kom cov chaw kho mob tuaj yeem txiav txim siab tau zoo thiab muaj pov thawj.
Cov Ntaub Thaiv Tsev Kho Mob Uas Siv Tau Dua Thiab Siv Tau Dua
Xaiv cov ntaub thaiv kev ntiag tug Hauv kev kho mob ib puag ncig cuam tshuam rau tus neeg mob lub meej mom, kev lag luam ntawm chaw kho mob, thiab kev tswj kev kis kab mob. Txawm hais tias cov ntaub woven ib txwm muaj keeb kwm tswj hwm qhov chaw kho mob, qhov kev tsom mus rau kev tiv thaiv kev kis kab mob hauv tsev kho mob (HAIs) - uas cuam tshuam kwv yees li 1 ntawm 31 tus neeg mob hauv tsev kho mob txhua hnub - tau qhia txog lwm cov ntaub ntawv. Cov thawj coj ntawm chaw kho mob tam sim no yuav tsum ntsuas qhov kev ruaj khov mus sij hawm ntev piv rau qhov xav tau kev tu cev tam sim ntawd thaum txiav txim siab ntawm cov kev xaiv pov tseg thiab cov kev xaiv siv dua.
Cov Lus Txhais Tseem Ceeb thiab Cov Qauv Siv
Cov ntaub thaiv qhov rais uas siv tau dua feem ntau yog ua los ntawm cov polyester sib xyaw uas ruaj khov thiab sib xyaw ua ke (feem ntau hnyav 200–300 grams ib square meter, lossis GSM) uas tsim los kom tiv taus 50 txog 100 lub voj voog ntxuav khoom lag luam. Cov khoom siv ib txwm muaj no tau muab faib rau thoob plaws cov chav kho mob dav dav uas muaj kev kis tus kab mob nruab nrab. Ntawm qhov tod tes, cov ntaub thaiv kev kho mob Cov khoom siv uas tsim los rau kev siv pov tseg feem ntau yog polypropylene tsis yog woven (feem ntau yog 100–120 GSM). Txawm hais tias cov khoom siv tseem ceeb yog cov khoom siv rov ua dua tshiab, cov txheej txheem kev ua cov khib nyiab kho mob thiab kev ua qias tuaj yeem txwv tsis pub rov ua dua tshiab. Cov khoom siv pov tseg yog siv rau hauv cov chaw muaj kev phom sij siab, xws li cov chav kho mob hnyav (ICUs), cov chaw kub hnyiab, thiab cov chav cais tawm. Hauv cov chaw no, kev hloov pauv sai ntawm cov neeg mob thiab kev pheej hmoo ntawm kev sib kis kab mob hnyav yuav tsum tau hloov cov ntaub thaiv tam sim ntawd yam tsis muaj kev ncua sijhawm ntxuav 24- txog 48-teev.
Cov Qauv Kev Ua Tau Zoo thiab Kev Ua Raws Cai
Txawm yog cov khoom siv, txhua yam cov ntaub thaiv qhov rai kho mob yuav tsum ua raws li cov qauv kev nyab xeeb thiab kev ua tau zoo. Kev tiv thaiv hluav taws yog qhov tsis sib tham tau; cov ntaub ntawv yuav tsum dhau qhov kev ntsuam xyuas kev kub hnyiab xws li tus qauv NFPA 701 hauv Tebchaws Meskas lossis tus qauv BS 5867 Ntu 2 Hom C hauv tebchaws United Kingdom. Cov ntaub woven ib txwm muaj nrog cov tshuaj pleev xim feem ntau xav tau kev kho dua tshiab tom qab 10 txog 15 lub voj voog ntxuav kom ua raws li txoj cai, txawm hais tias cov ntaub woven uas tiv thaiv hluav taws (IFR) hla dhau qhov yuav tsum tau ua no. Qhov sib piv, cov polypropylene tsis-woven siv cov khoom ntxiv tiv thaiv hluav taws uas tau muab tso rau hauv thaum lub sijhawm tsim khoom, ua kom ntseeg tau tias ua raws li txoj cai thoob plaws lawv lub neej 3- txog 6-hli yam tsis tau kho dua tshiab.
Tus nqi, Kev Huv Si, thiab Kev Ua Haujlwm Sib Txawv
Kev soj ntsuam cov ntaub thaiv qhov rais hauv tsev kho mob yuav tsum tau tshuaj xyuas cov txheej txheem txij nkawm, kev pheej hmoo ntawm kev sib kis kab mob, thiab tag nrho cov nqi ntawm kev muaj. Qhov sib txawv ntawm kev ua haujlwm ntawm kev ntxuav cov ntaub ruaj khov thiab kev tswj hwm cov saw hlau muab pov tseg cuam tshuam loj heev rau cov kev pabcuam ib puag ncig (EVS) cov haujlwm.
Tsis tas li ntawd xwb, qhov cuam tshuam rau ib puag ncig ntawm txhua lub kaw lus yuav tsum tau muaj kev soj ntsuam zoo. Cov ntaub thaiv pov tseg pab txhawb 1 txog 2 phaus ntawm cov khoom siv rau ib lub vaj huam sib luag rau qhov hnyav ntawm cov chaw pov tseg thiab cov khib nyiab kho mob, thaum cov tshuab ntxhua khaub ncaws rov siv dua siv dej ntau (feem ntau 2 txog 3 nkas loos ib phaus ntawm cov khaub ncaws ntxhua khaub ncaws), lub zog, thiab cov tshuaj ntxuav tshuaj. Cov chaw yuav tsum soj ntsuam lawv cov khoom siv hauv zos - xws li kev muaj cov khib nyiab-rau-lub zog rau cov khoom siv pov tseg piv rau cov peev xwm rov ua dua dej ntxhua khaub ncaws lag luam - kom txiav txim siab txog kev nyab xeeb ntawm ib puag ncig.
Kev Tswj Kab Mob thiab Kev Ntxuav
Kev khaws cov kab mob ntawm cov ntaub so ntswg yog ib qho pov thawj uas tau sau tseg rau kev kis tus kab mob Staphylococcus aureus (MRSA) uas tiv taus methicillin thiab Enterococcus uas tiv taus vancomycin (VRE). Cov ntaub so ntswg uas siv tau dua yuav tsum tau siv tshuaj tua kab mob kom tsis txhob muaj kev pheej hmoo no. Cov lus qhia los ntawm cov koom haum xws li CDC, NHS, thiab AORN hais tias cov ntaub so ntswg kho mob uas ruaj khov yuav tsum tau ntxuav ntawm qhov kub siab (piv txwv li, 160°F lossis 71°C rau tsawg kawg 25 feeb), feem ntau nrog cov tshuaj chlorine, kom txo tau cov kab mob me me.
Cov ntaub thaiv qhov rai hauv tsev kho mob siv ib zaug xwb hla txoj haujlwm tshem tawm cov pa phem no. Los ntawm kev pov tseg cov ntaub thaiv tom qab kev tso tawm cais tawm lossis thaum lub sijhawm teem tseg, cov chaw ua haujlwm txo qhov kev pheej hmoo ntawm kev ntxuav tsis ua haujlwm thiab rov ua pa phem dua thaum thauj mus los. Txawm li cas los xij, cov khoom siv pov tseg tsis yog qhov muaj kev pheej hmoo xoom; lawv tseem tuaj yeem ua pa phem thaum siv los ntawm kev tuav ntau zaus, xav tau kev tu cev huv si thiab hloov pauv tsis tu ncua. Qhov kev hloov pauv no tsiv lub nra hnyav ntawm kev xa khoom ntxhua khaub ncaws mus rau kev tswj hwm pov tseg.
Cov Nqi Yuav Khoom, Ntxuav Khaub Ncaws, thiab Hloov Khoom
Kev qauv nyiaj txiag rau cov ntaub thaiv qhov rai tsis pub lwm tus paub txuas ntxiv mus dhau daim ntawv them nqi pib. Cov ntaub uas siv tau dua muaj tus nqi yuav khoom siab dua, ntxiv los ntawm kev ntxuav, kev thauj mus los, thiab kev taug qab. Cov chaw kuj tseem yuav tsum tswj cov khoom seem seem (feem ntau yog 3x par level) kom npog cov vaj huam sib luag hauv lub voj voog ntxuav. Cov khoom siv pov tseg qhia txog tus qauv kev lag luam rov qab: tus nqi yuav khoom pib qis dua thiab tsis muaj tus nqi ntxuav, tab sis lawv xav tau kev rov ua dua tas mus li thiab raug nqi ua haujlwm xws li kev tswj hwm cov khoom xa tuaj tas mus li, kev khaws cia, thiab cov nqi pov tseg.
| Kev ntsuas | Cov Ntaub Siv Tau Dua | Cov Khoom Siv Pov Tseg Uas Tsis Yog Woven Polypropylene |
|---|---|---|
| Tus nqi pib rau ib lub vaj huam sib luag | Tus nqi peev siab dua ($ 30– $ 80 ib txwm) | Tus nqi pib qis dua ($ 10– $ 25 ib txwm) |
| Tus nqi kho | Kev ntxuav khaub ncaws tas li ($1.50–$3.00 rau ib zaug ntxuav) | Cov nqi pov tseg thiab kev tswj cov khib nyiab ($0.10–$0.50 ib phaus) |
| Kev Xav Tau Khoom Muag | Siab (~3x theem par rau kev tig) | Nruab nrab (~1.5x theem par rau cov khoom lag luam tas mus li) |
| Kev Pheej Hmoo Sib Kis | Nruab Nrab (Nyob ntawm seb ntxuav tau zoo li cas) | Qis mus rau Nruab Nrab (Vaj huam tshiab rau txhua zaus xa tawm, tab sis tuaj yeem ua rau muaj kuab paug thaum siv) |
| Lub neej ntev | Ntau xyoo (50–100 lub voj voog ntxuav) | Raws li qhov xwm txheej (ib tus neeg mob raug tso tawm hauv tsev kho mob) lossis lub sijhawm txwv (3-6 lub hlis) |
Yuav Ua Li Cas Xaiv Hom Ntaub Thaiv Qhov Rooj
Kev xaiv lub tshuab thaiv qhov zoo tshaj plaws tsis yog qhov kev txiav txim siab ob zaug rau tag nrho lub network kev kho mob. Cov tswv yim yuav khoom zoo siv txoj hauv kev sib xyaw, siv cov khoom siv tshwj xeeb raws li kev ua haujlwm ntawm lub chaw haujlwm, kev ntsuam xyuas kev pheej hmoo, thiab cov hom phiaj kev sib kis.
Soj Ntsuam Kev Pheej Hmoo Hauv Chav Kho Mob thiab Kev Hloov Neeg Mob
Cov thawj coj ntawm cov chaw kho mob yuav tsum ua qhov kev faib ua pawg ntawm kev pheej hmoo thoob plaws ntau thaj chaw kho mob. Hauv cov chaw muaj neeg mob coob xws li chav kho mob thaum muaj xwm txheej ceev lossis thaj chaw muaj kev pheej hmoo siab xws li chav kho mob qog nqaij hlav, kev siv cov khoom siv pov tseg sai sai ua kom muaj kev cuam tshuam tshiab rau cov neeg tuaj kho mob tshiab. Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm kev hloov pauv raws li qhov xwm txheej thiab lub sijhawm: hauv qhov chaw cais tawm (qhov twg tus neeg mob nyob nruab nrab 3 txog 7 hnub), cov khoom siv pov tseg ua haujlwm ua cov khoom siv rau ib tus neeg mob uas raug pov tseg thaum tus neeg mob tawm hauv tsev kho mob. Hauv cov chav kho mob feem ntau uas muaj kev pheej hmoo tsawg dua, lawv ua haujlwm ua cov teeb meem txwv sijhawm, nrog rau cov lus qhia ntawm kev lag luam feem ntau pom zoo kom hloov txhua 3 txog 6 lub hlis thaum cov khoom siv laus zuj zus. Ntawm qhov tod tes, cov chaw kho mob mus sij hawm ntev lossis cov chaw kho mob sab nraud uas tsis muaj mob hnyav - qhov twg tus neeg mob nyob ntev dua lossis kev sib cuag ncaj qha nrog cov ntaub thaiv qhov rai yog tsawg heev - feem ntau pom tias muaj txiaj ntsig zoo dua rau kev nqis peev mus sij hawm ntev (ROI) los ntawm kev tswj cov ntaub ruaj khov, ntxuav tau.
Sib phim Kev Yuav Khoom rau Lub Hom Phiaj Tiv Thaiv Kab Mob
Cov kev txiav txim siab txog kev yuav khoom yuav tsum sib haum nrog cov lus txib ntawm lub chaw kho mob kom tiv thaiv kev kis kab mob. Yog tias lub tsev kho mob tab tom tsom mus rau kev txo qis cov kab mob HAIs uas kis los ntawm kev sib cuag, hloov mus rau cov ntaub thaiv tsev kho mob tiv thaiv kab mob nruab nrog cov kev kho mob silver-ion lossis quaternary ammonium (uas feem ntau tsom mus rau 99.9% bioburden txo qis hauv 24 teev) yog ib qho kev xaiv. Txawm li cas los xij, cov kev kho mob biocidal saum npoo av no raug tswj hwm nruj me ntsis los ntawm cov koom haum xws li EPA thiab FDA.
Cov Ntsiab Lus Tseem Ceeb
- Siv cov ntaub thaiv qhov rais uas siv ib zaug xwb hauv cov chaw muaj kev pheej hmoo siab xws li ICUs, chaw kub hnyiab, thiab chav cais neeg mob uas hloov pauv tam sim ntawd tuaj yeem txo qhov kev pheej hmoo ntawm kev sib kis kab mob.
- Xaiv cov ntaub thaiv qhov rai uas siv tau dua rau cov chav kho mob uas muaj kev pheej hmoo nruab nrab tsuas yog tias lub chaw tuaj yeem tswj hwm kev ntxuav khaub ncaws, kev taug qab, kev khaws cia, thiab kev rov ua dua tshiab.
- Ua ntej yuav khoom, xyuas kom tseeb tias txhua daim ntaub thaiv qhov rai ua tau raws li cov qauv tiv thaiv hluav taws, xws li NFPA 701 lossis BS 5867 Ntu 2 Hom C.
- Xav txog cov nqi siv tau ntev vim tias cov ntaub thaiv qhov rais uas siv tau dua yuav xav tau 50 txog 100 zaug ntxhua khaub ncaws, thaum cov ntaub thaiv qhov rais uas siv ib zaug xwb feem ntau siv tau 3 txog 6 lub hlis.
- Piv txwv qhov cuam tshuam rau ib puag ncig hauv zos, suav nrog lub nra hnyav ntawm cov chaw pov tseg ntawm 1 txog 2 phaus rau ib lub vaj huam sib luag pov tseg piv rau dej, zog, thiab kev siv tshuaj ntxuav tes hauv kev ntxuav khaub ncaws.
Cov Lus Nug Feem Ntau
Cov ntaub thaiv qhov rooj twg zoo dua rau kev tswj kev kis kab mob?
Cov ntaub thaiv qhov rais uas siv ib zaug xwb feem ntau nyiam siv rau hauv ICUs, chav cais tawm, thiab thaj chaw uas muaj neeg siv ntau vim tias lawv tuaj yeem hloov tau tam sim ntawd thiab zam kev ntxuav khaub ncaws qeeb. Cov ntaub thaiv qhov rais uas siv tau dua tuaj yeem muaj kev nyab xeeb, tab sis tsuas yog nrog kev ntxuav, kev tuav, thiab kev taug qab nruj me ntsis.
Yuav tsum tau hloov cov ntaub thaiv qhov rais hauv tsev kho mob uas siv ib zaug xwb ntau zaus npaum li cas?
Ntau cov ntaub thaiv qhov rais uas siv ib zaug xwb tau tsim los rau lub neej siv tau 3- txog 6 lub hlis, tab sis lawv yuav tsum tau hloov sai dua tom qab muaj kev kis kab mob, muaj cov pa tawm hauv qhov chaw cais tawm, pom kev qias neeg, lossis raws li txoj cai tswj kev kis kab mob ntawm qhov chaw.
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv tau dua feem ntau yog ua los ntawm dab tsi?
Cov ntaub thaiv qhov rais uas siv tau dua feem ntau yog ua los ntawm cov polyester sib xyaw uas ruaj khov, feem ntau nyob ib ncig ntawm 200–300 GSM, thiab tau tsim los kom tiv taus li ntawm 50 txog 100 lub voj voog ntxuav lag luam.
Cov ntaub thaiv qhov rais hauv tsev kho mob puas yuav tsum ua tau raws li cov qauv kev nyab xeeb hluav taws?
Yog. Cov ntaub thaiv qhov muag kho mob uas siv pov tseg thiab cov uas siv tau dua yuav tsum ua tau raws li cov qauv tiv thaiv hluav taws, xws li NFPA 701 hauv Tebchaws Meskas lossis BS 5867 Ntu 2 Hom C hauv tebchaws United Kingdom.
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg puas siv tau dua tshiab?
Qee cov ntaub thaiv qhov rais siv pov tseg siv cov polypropylene uas siv tau dua tshiab, tab sis cov cai tswjfwm kev ua qias tuaj, kev tuav cov khib nyiab kho mob, thiab cov kev txwv ntawm kev ua haujlwm hauv zos feem ntau tiv thaiv kev siv rov qab tom qab siv hauv tsev kho mob.
