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首页> 外文期刊>Anaesthesia and intensive care >A national survey of infection control practice by New Zealand anaesthetists.
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A national survey of infection control practice by New Zealand anaesthetists.

机译：新西兰麻醉师进行的全国感染控制实践调查。

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Anaesthetists have an important role in preventing nosocomial infection. Failures in this role have resulted in critical reports in the media. We ascertained the current practices of New Zealand anaesthetists relating to infection control, by distributing a questionnaire to all 450 anaesthetists practising in New Zealand. Sixty-one percent responded. Just over half the respondents had never read their hospital policy on infection control and over a third had never read the Australian and New Zealand College of Anaesthetists policy document on infection control. It was found that 3.4% rarely changed gloves if they became contaminated and 2.2% occasionally used the same syringe to administer drugs to more than one patient. The majority (86.3%) of respondents split one drug ampoule between more than one patient, 41.3% used multidose vials for more than one patient and 2.2% used pre-filled syringes for more than one patient. The majority complied with the College infection control policy for performing arterial cannulation (85.7%), central venous cannulation (77.4%) and regional blockade (65.1%). Respondents ranked the overall risk of the anaesthetist contributing to the transmission of infectious agents on a scale from 0 to 10 (10=highest risk). The median response was 7, the modal response was 10 and interquartile range was 4 to 8. There was a high level of awareness of the risks of contributing to cross-infection inherent in anaesthesia, most anaesthetists reporting that they followed recommended guidelines in this context. However, these data suggest more effort is required to promote compliance with appropriate guidelines.
机译：麻醉师在预防医院感染方面具有重要作用。此角色的失败导致了媒体的批评报道。我们通过向所有450名在新西兰执业的麻醉师分发调查问卷，确定了新西兰麻醉师在感染控制方面的当前做法。百分之六十一回应。略超过一半的受访者从未阅读过他们关于感染控制的医院政策，而超过三分之一的受访者从未阅读过澳大利亚和新西兰麻醉师学院关于感染控制的政策文件。结果发现，有3.4％的人一旦被污染就很少更换手套，而有2.2％的人偶尔使用同一个注射器对多于一名患者进行药物治疗。大部分（86.3％）的受访者将一个药物安瓿分配给一名以上的患者，41.3％的一名患者使用多剂量小瓶，2.2％的一名患者使用预填充注射器。多数患者遵循大学感染控制政策进行动脉插管（85.7％），中央静脉插管（77.4％）和区域性封锁（65.1％）。受访者将麻醉师有助于传染源传播的总体风险按0到10进行分级（10 =最高风险）。中位反应为7，模态反应为10，四分位间距为4至8。人们对麻醉中固有的交叉感染的危险性认识很高，大多数麻醉师报告说，他们遵循了推荐的指导原则。但是，这些数据表明需要更多的努力来促进对适当准则的遵守。

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