Ngokuthuthuka kwezinga lomhlaba lokwelashwa kwemitholampilo, imishini yokubulala izinzwa, ama-ventilators nezinye izinto seziphenduke imishini yezokwelapha evamile ezibhedlela.Imishini enjalo ivame ukungcoliswa ama-microorganisms, ikakhulukazi amagciwane e-Gram-negative (okuhlanganisa i-Acinetobacter baumannii, i-Pseudomonas aeruginosa, i-Escherichia coli, i-Proteus mirabilis, i-Pseudomonas syringae, i-Klebsiella pneumoniae, i-Bacillus, njll.);Amagciwane e-Gram-positive (okuhlanganisa i-Corynebacterium diphtheriae, i-Streptococcus pneumoniae, i-Streptococcus haemolyticus, i-coagulase-negative i-Staphylococcus ne-Staphylococcus aureus, njll.) izinhlobo zesikhunta (kuhlanganisa i-Candida, isikhunta esine-filamentous, isikhunta esifana ne-yeast-yeast).
Inhlolovo yohlu lwemibuzo ehlobene yenziwa i-Perioperative Infection Control Branch ye-Chinese Society of Cardiothoracic and Vascular Anesthesia ekupheleni kuka-2016, nodokotela obulala izinzwa abangu-1172 ababambe iqhaza ngempumelelo, u-65% wabo ubevela ezibhedlela zokunakekelwa kwemfundo ephakeme ezweni lonke, kanye nemiphumela. ikhombise ukuthi izinga lokungakaze kubulawe amagciwane futhi ngezikhathi ezithile kuphela ukukhishwa kwamagciwane okungajwayelekile kwamasekethe ngaphakathi kwemishini yokubulala izinzwa, ama-ventilators, nezinye izinto zokusebenza lalingaphezulu kuka-66%.
Ukusetshenziswa kwezihlungi zokufinyelela kokuphefumula kukodwa akukuhlukanisi ngokuphelele ukudluliswa kwama-microorganisms e-pathogenic ngaphakathi kwesekhethi yemishini naphakathi kweziguli.Lokhu kubonisa ukubaluleka komtholampilo kokubulala amagciwane kanye nokuvalwa kwesakhiwo sangaphakathi semishini yezokwelapha yomtholampilo ukuze kunqandwe ubungozi bokutheleleka okuhlukahlukene kanye nokuthuthukisa ikhwalithi yezinsizakalo zokunakekelwa kwezempilo.
Kukhona ukuntuleka kwamazinga afanayo mayelana nezindlela zokubulala amagciwane kanye nokuvalwa inzalo kwezakhiwo zangaphakathi zemishini, ngakho-ke kuyadingeka ukuthuthukisa imininingwane ehambisanayo.
Isakhiwo sangaphakathi semishini yokubulala izinzwa nama-ventilators siye sahlolwa ukuze sibe nenani elikhulu lamabhaktheriya e-pathogenic kanye nama-microorganisms e-pathogenic, futhi izifo ze-nosocomial ezibangelwa ukungcola okunjalo kwe-microbial sekuyisikhathi eside ukukhathazeka komphakathi wezokwelapha.
Ukubulala amagciwane kwesakhiwo sangaphakathi akukaxazululwa kahle.Uma umshini uhlakazwa ukuze ubulawe amagciwane ngemva kokusetshenziswa ngakunye, kunezingqinamba ezisobala.Ngaphezu kwalokho, kunezindlela ezintathu zokubulala amagciwane ezingxenyeni ezihlakaziwe, eyodwa izinga lokushisa eliphezulu nokucindezela okuphezulu, futhi izinto eziningi azikwazi ukubulawa amagciwane lapho izinga lokushisa eliphezulu nokucindezela okukhulu, okuzodala ukuguga kwepayipi nendawo yokuvala, kuthinte umoya wokungena umoya. kwezesekeli futhi uzenze zingasebenzi.Enye i-disinfection nge-disinfection solution, kodwa futhi ngenxa yokuhlakazeka njalo kuzodala ukulimala kokuqina, kuyilapho ukukhishwa kwe-ethylene oxide, kodwa futhi kufanele kube nezinsuku ezingu-7 zokuhlaziya ukuze kukhishwe insalela, kuzobambezela ukusetshenziswa, ngakho-ke akufiseleki.
Ngenxa yezidingo eziphuthumayo ekusetshenzisweni komtholampilo, isizukulwane sakamuva semikhiqizo enelungelo lobunikazi: YE-360 uchungechunge lwe-anesthesia breathing circuit umshini wokukhipha amagciwane.
