新华网太原3月15日电(记者刘翔霄)记者日前从山西省卫生厅了解到,为进一步加强血液透析治疗中医院感染控制工作,山西省卫生厅近日下发通知明确,患者在透析疗程开始前必须进行甲肝、乙肝、丙肝、梅毒、艾滋病等血源性感染疾病的实验室检查,检查结果明确后才可开始透析治疗。
通知规定,传染病人应当在隔离透析室治疗,固定床位,专机透析,操作人员相对固定,并采取相应的消毒隔离措施;严格执行一次性使用无菌医疗用品管理制度,加强对透析器等一次性用品的使用管理。并具体明确了透析器复用管理的有关事项,如规定开展血液透析项目的医疗机构必须配置复用器,只能使用依法批准的、有明确标识的可重复使用的血液透析器,而且只能使用于同一患者,使用前必须由有复用及相关医学知识的主管血液透析的医师下达复用医嘱等。
血液透析是慢性肾衰病人赖以生存的肾脏替代治疗手段之一,透析时需要将病人的血液引出体外,血液在透析器中与透析液进行溶质交换,达到去除体内代谢废物的目的。血液透析室(中心)的管理和消毒隔离是否规范,直接影响到治疗质量和病人安全,甚至可引起血源性感染疾病的传播。(完)
Shanxi Province Health Department: Hemodialysis patients with AIDS test required to
(2009-03-15 07:58:10) manuscript Source: Xinhuanet in Shanxi Channel
Taiyuan Xinhua March 15 (Xinhua Liu Xiangxiao) reporter recently learned from the Shanxi Province Health Department, in order to further strengthen the hemodialysis treatment of hospital infection control, Shanxi Province Health Department recently issued a circular clear, patients at the beginning of dialysis treatment the need for hepatitis A, hepatitis B, hepatitis C, syphilis, AIDS and other blood-borne infections, laboratory examination, test results clearly only after beginning dialysis treatment.
The notification requirement, infectious diseases people should be isolated at room dialysis treatment, a fixed bed, special dialysis, the operator is relatively fixed, and take the appropriate disinfection and isolation measures; strictly enforce the use of sterile disposable medical supplies management system, strengthen the disposable dialysis supplies, etc. use management. And the specific dialyzer reuse management related matters, such as hemodialysis project to carry out the provisions of health care institutions must configure the multiplexer, can only use approved in accordance with the law, there is a clear identification of reusable blood dialyzer, but only used in the same patients, the use of the former must have multiplexing and related medical knowledge of the physician director hemodialysis issued orders, such as multiplexing.
Hemodialysis patients with chronic renal failure are living one of the means of renal replacement therapy, dialysis patients, when necessary leads to in vitro blood, blood in the dialyzer with dialysis solution for solute exchange, to remove metabolic waste. Hemodialysis Room (Center) management and whether the norms of disinfection and isolation, a direct impact on treatment quality and patient safety, and even can cause blood-borne infection in the spread of disease. (END)
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