再议德国手术室感染控制措施的讨论——关于层流手术室感染率的问题
Further discussion on measures of infection control in operating room in Germany: Questions about infection rate of laminar flow operating rooms
摘要:
德国Brandt及国内学者分别发表了1篇关于层流手术室感染率的医学统计研究的论文。笔者进行了深入的调研和认真讨论。指出2篇文章有3点误导,即逻辑上、方法上和方向上的误导;有3点忽视,即对空气微生物、层流和《医院洁净手术部建筑技术规范》的忽视。最后指出:层流是高端洁净技术;目前不是取舍的问题,而是普及与提高的问题。
Abstract:
Medical statistical studies on the infection rate of laminar flow operating rooms has been published by Brandt et al in Germany and a researcher in China. The author carries out a deep investigation and a serious discussion, and points out that there are three misleading points in the two articles: misleading in logic, method and direction, and three neglects: the neglect of air microorganism, laminar flow and the Architectural technical code for hospital clean operating department. Finally, points out that laminar flow is a high-end clean technology. At present, laminar flow is not a problem of choice, but a contradiction between popularization and improvement.
Keywords:airmicroorganism,laminarflowoperatingroom,turbulentoperatingroom,infection,applicationofantibiotic