OBJECTIVE To strengthen occupational safety and health(OSH) management of medical service. METHODS To analyze actuality of OSH management and internal and international laws and regulations for OSH management,and give the proposition of its construction. RESULTS On the basis of the requirement,a set of OSH management scheme was established. CONCLUSIONS It is imperative that construct occupational safety and health management laws and regulations and system in medical service.They are pacing factors for physical and mental health of medical members.

OBJECTIVE To select applicable air disinfectors that can be used at indoor dynamic state to disinfect air in hospital.METHODS Some different air disinfectors were installed different volumetric rooms.To detect indoor air bacterial content before and after running the air disinfectors at quiet state and dynamic state.To evaluate the disinfection effect of these air disinfectors according to the eliminateion rates.RESULTS At quiet state,the indoor bacteria eliminateion rate exceed 90% after the air disinfectors running 0.5h.So the disinfection were qualified.At dynamic state,these air disinfectors showed good lasting disinfection effect.CONCLUSIONS The air disinfectors solve the problem of indoor air disinfection at dynamic state.It is imperative that select and use exactly the air(disinfectors) to get good disinfection effect.

OBJECTIVE To attend to the importance and issues of using the enzyme cleaner for the reprocessing of medical instrument. METHODS The principle, usage, precautions, and the selection of enzyme cleaner were analyzed. RESULTS The cleaning of the medical instrument must use the liquid enzyme detergent that has the following characters: clear solution, no or low foam, free rinsing, flexibilities to the water temperature, and no limitation to the water quality. CONCLUSIONS For successful cleaning of the medical instrument the use of the high-quality enzyme cleaner is required. A complete cleaning of the medical instrument is the first step to assure the quality of disinfection, sterilization, and the infection control.

OBJECTIVE To evaluate the hand hygiene compliance(HHC) in China.METHODS The field observation for hand hygiene compliance,the hand hygiene material and equipment were performed in parallel in 8 hospitals from Beijing,Shanghai and Guangzhou.RESULTS It was shown that the average hand hygiene compliance before contacting patient was 35.3%,much lower than the compliance after contacting patient(56.5%).The nurse′s HHC(39.3%) was the best among groups before contacting patient,but the physicians took the first place of HHC after contacting patient.The best discipline in HHC was gynecology and obstetrics departments,especially before contacting patient and after contacting other surface,comparatively the worst was the surgeons.Most of hospitals(83.3%) provided the unmedicated detergent for handwashing.The alcohol-based hand rub(ABHR) for hand disinfection was available(56%) in many hospitals,in contrast the HHC with ABHR was quite low(14.2%).CONCLUSIONS These results indicated that the HHC is relatively low and improving adherence to hand hygiene practice is a multidisciplinary and systematic approach in China.It might be essential for promoting the HHC of health care workers,especially the physicians and surgeons,to strengthen the education and enlarge the continuous investment for some hard-ware improvement.

OBJECTIVE To give experimental basis for further investigation on Staphylococcus epidermidis biofilm resistance,we investigated the erythromycin repression of the planktonic,resuspended and biofilm cells.METHODS log Reduction of the planktonic,resuspended and biofilm cells of S.epidermidis strain 1457 and wild isolate S 68 was tested under 100 MIC erythromycin.The cells inside biofilm were observed by transmission electron microscope.RESULTS log Reduction of the planktonic and resuspended cells of S.epidermidis 1457 were 5.56?0.11 and 5.28?0.08,respectively,after 4h under 100 MIC erythromycin,which was higher than that of biofilm cells(P0.05).The tendency of the log reduction of isolate S 68 was the same as that of strain 1457.The cells of biofilm without erythromycin were spherical and of even distributed,but the swelling,liquefied cells and cell debris were observed in the biofilm with erythromycin after 12h.The arrangement of cells inside biofilm with erythromycin was looser than that without erythromycin.CONCLUSIONS The erythromycin resistance of biofilm cells is higher.Biofilm can give protection for the bacteria to avoid the killing of action by antibiotics.

OBJECTIVE To confirm the clinical disinfection effect of acidity electrolyzed oxidizing water(AEOW).METHODS According to the standards of disinfection techniques supplied by Health Ministry of China,the disinfection effect of health care worker,object surfaces and medical apparatus and instrument were investigated.RESULTS The log reduction of the bacteria on the hands,object surfaces and medical instruments were more than 1.00.The number of the bacteria on the endoscopes were 0-2 CFU per piece on average.No pathogenic bacteria were detected out.The disinfection effect of each experimental group was qualified.CONCLUSIONS The field disinfection effect of AEOW is accepted.

OBJECTIVE To probe into the new method to improve medical environment,and reduce hospital infection causing by the environmental factors.METHODS Using the nanometer photocatalysis technology clinically,to analyze the bacteriostatic effect of medical environment.RESULTS After use of the nanometer photocatalysis spraying material the surface sterilization effect was obvious on the three kinds of environmental objects.The withering away rate of bacterium on the object with total surface was 23.75-38.30%;the vertical surface bacterium withers away rate was 48.77-87.97%,the horizontal surface bacterium withers away rate was 12.50-77.20%,the air bacterium withering away rate was 1.52-60.00%.CONCLUSIONS The nanometer photocatalysis technology to sterilize and purify the medical environment has very good perspectives.