中国感染控制杂志2018，Vol.17Issue(4)：325-328,4.DOI:10.3969/j.issn.1671-9638.2018.04.010
某市血液透析现状及透析用水和透析液质量合格情况调查
Status of hemodialysis and qualified status of dialysis water and dialysate in a city
王秀珍 1严向明 1李新芳 2乔美珍 3金美娟 3钱雪峰 3张骏骥 2倪晓艳 4赵纳幸 5许铮 6张勤英7
作者信息
- 1. 苏州大学附属儿童医院,江苏 苏州 215025
- 2. 苏州市立医院,江苏 苏州215001
- 3. 苏州大学附属第一医院,江苏 苏州 215001
- 4. 吴江区第一人民医院,江苏 苏州 215200
- 5. 常熟市第二人民医院,江苏 苏州 215500
- 6. 苏州大学附属第二医院,江苏 苏州 215000
- 7. 昆山市第一人民医院,江苏 苏州 215300
- 折叠
摘要
Abstract
Objective To investigate current status of hemodialysis,and qualified status of dialysis water and dia-lysate in a city. Methods Status of hemodialysis in 36 medical institutions in a city which conducted blood purifica-tion programme was surveyed,dialysis water and dialysate were collected to perform microbial detection(including conventional and low temperature culture methods)and on-site ATP detection.Results 13.89% of equipments for water treatment were used less than 1 year,5.56% were used for more than 10 years. 77.78% of medical institu-tions didn't replace sand filtration which had been used for more than 1 year,the replacement time of 72.22% of fil-ter core was less than 3 months,2.78% of reverse water supply pipeline was used for more than 10 years.77.78%of medical institutions used finished A solution,72.22% used finished B solution,22.22% used centrally provided A solution,19.44% used centrally provided B solution,and 8.34% used self-made B solution. Routine microbial detection in 36 medical institutions were qualified,but 80.56% of detection results were"0" value for long period;ATP detection of on-site collected dialysis water and dialysate were all qualified. One specimen for microbial detec-tion under normal temperature exceeded the standard,2 reached the intervention value;4 specimens for microbial detection under low temperature exceeded the standard,6 reached the intervention value;qualified rates of 3 kinds of detection methods among different levels of medical institutions weren't significantly different(all P>0.05).Con-clusion The overall quality of hemodialysis water and dialysate in this city is good,the majority of medical institutions pay attention to the routine maintenance of water treatment equipment,detect the quality of hemodialysis water and dialysate regularly,but microbial detection technique needs to be improved,causes for abnormal results or intervention value of rou-tine detection needs to be analyzed and improved continuously.关键词
医疗机构/血液净化/透析用水/透析液/微生物检测/ATP检测Key words
medical institution/blood purification/dialysis water/dialysate/microbial detection/ATP detection分类
医药卫生引用本文复制引用
王秀珍,严向明,李新芳,乔美珍,金美娟,钱雪峰,张骏骥,倪晓艳,赵纳幸,许铮,张勤英..某市血液透析现状及透析用水和透析液质量合格情况调查[J].中国感染控制杂志,2018,17(4):325-328,4.
