fa مقایسه وضعیت بهداشتی سطوح تجهیزات پزشکی و سطوح محیطی شبه خانگی در بخش‌های بستری یکی از بیمارستان‌های اردبیل به روش مشاهده‌ای (ICNA) و میکروبی (ACC) در سال 1396 تخصصي Special پژوهشي Research <div style="border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:1.0pt 0cm 1.0pt 0cm;margin-right:42.55pt;margin-left:42.55pt;"><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">زمینه</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">هد</span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">ف:</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;"> انتقال عفونت از وسایل و محیط به بیماران به شکل وسیعی از طریق تماس صورت می‌گیرد. این مطالعه با هدف</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تعیین</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">وضعیت بهداشتی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تجهیزات</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پزشکی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">محیطی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شبه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خانگی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بخش‌های بستری</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">یکی از بیمارستان‌های اردبیل به</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">روش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مشاهده‌ای و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میکروبی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سال</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">1396</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">انجام</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">گرفت</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">.</span></span></span><br> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">روش کار</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">: در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">توصیفی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مقطعی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح محیطی17</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بخش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بستری بیمارستان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مورد مطالعه طی یک ماه و در دو مرحله مورد ارزیابی مشاهده‌ای (از طریق تکمیل چک لیست) و میکروبی قرار گرفت. </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">تجزیه </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تحلیل</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">داده‌های بدست آمده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">استفاده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نرم</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">افزار</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> SPSS </span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">و </span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">طریق</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مقایسه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">استانداردها و ضوابط انگلستان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">انجام گرفت</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">.</span></span></span><span style="font-family:b lotus;"><span style="font-size:10.0pt;"></span></span><br> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">یافته</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">‌<strong>ها</strong>: این</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نشان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">داد میزان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آلودگی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بخش‌ها و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مختلف بیمارستان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مورد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مطالعه از نظر میکروبی 75/75 درصد و از نظر مشاهده‌ای 15/29</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">درصد می‌باشد. طبق تحلیل‌های آماری</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">روش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میکروبی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تجهیزات</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پزشکی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ونتیلاتور</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آلوده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ترین</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">محل</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">محیطی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شبه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خانگی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">کمد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بیمار آلوده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ترین محل</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">گزارش گردید. در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پایش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مشاهده‌ای نیز</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح تجهیزات</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پزشکی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">کلیشه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پرونده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آلوده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ترین و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از بین</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">سطوح</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">محیطی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">شبه</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">خانگی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نیز</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">یخچال</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آلوده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ترین</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">محل تعیین شد. آلوده</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">ترین</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بخش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نظر</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پایش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میکروبی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">کاردیوتراکس</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نظر پایش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مشاهده‌ای داخلی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مردان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تعیین شد</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">.</span></span></span> <span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"></span></span></span><br> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">نتیجه</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">گیری</span></span></strong><span style="font-family:b lotus;"><span style="font-size:10.0pt;">: لذا</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پیشنهاد می‌گردد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">برنامه ریزی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مدون</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">بکارگیری</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">روش‌های مناسب</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پیشگیرانه،</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">اجرای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">برنامه‌های ضدعفونی،</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">تدوین راهنمای</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">نظافت</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">گندزدایی،</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آموزش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">پایش</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">مداوم</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آن</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">با روش‌های استاندارد</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">میزان</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">آلودگی</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">به حداقل</span></span> <span style="font-family:b lotus;"><span style="font-size:10.0pt;">برسد</span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">.</span></span></span></div> <div style="margin-left:42.55pt;"><strong>Background and objectives:</strong> The transmission of infection from the equipment and the environment to patients is widely carried out through contact. The aim of this study was to determine the health status of medical equipment and pseudo-homogeneous environmental levels in hospitals in Ardebil, in observational and microbiological hospitals in year 1396.<br> <strong>Methods:</strong> in this descriptive cross-sectional study, 17 levels of hospitalization in Imam Khomeini Hospital (RA) were evaluated in a two month observational stage (by completing the checklist) and microbial. Data analysis was done by using SPSS software and by comparing it with British standards<strong>.</strong><br> <strong>Results:</strong> This study showed that the rate of contamination in different parts of the hospital was microbial 75.75% and 29.15%, respectively. According to statistical analyzes in the microbial method, the most infected ventilators were among the most polluted medical equipment and among the peripheral levels of the most infectious patient ward. At the observation station, among the medical equipment levels, the clich&eacute; was the most contaminated case, and among the pseudo-environmental environmental levels, the most infected fridge was determined. The most contaminated part in terms of cardiothoracic microbial monitoring was determined in terms of male in-patient observation.</div> <strong>Conclusion: </strong>Therefore, it is suggested that by systematically planning and applying appropriate and preventive methods, implementing disinfection programs, developing guidelines for cleaning and disinfection, training and continuous monitoring of the standard methods of contamination will be minimized. سطوح محیطی, پایش میکروبی, پایش مشاهده ای, اردبیل Environmental levels, Microbial monitoring, Observational monitoring, Ardabil 281 292 http://jehe.abzums.ac.ir/browse.php?a_code=A-10-472-2&slc_lang=fa&sid=1 Neda Mohammadi ندا محمدی 10031947532846004566 10031947532846004566 No MSc student of Environmental Health Engineering, Faculty of Health, Ardabil University of Medical Sciences, Ardebil, Iran دانشجوی کارشناسی ارشد مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی اردبیل،اردبیل،ایران Morteza Alighadri مرتضی عالیقدری u.industry96@gmail.com 10031947532846004567 10031947532846004567 Yes Department of Environmental Health Engineering, School of Health, Ardabil University of Medical Sciences,Ardabil, Iran گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران Kourosh Rahmani کوروش رحمانی 10031947532846004568 10031947532846004568 No Department of Environmental Health Engineering, Mamasani Higher Education Complex for Health, Shiraz University of Medical Sciences, Shiraz, Iran گروه مهندسی بهداشت محیط، دانشکده پیراپزشکی ممسنی شیراز، فارس، ایران