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Y HOC VltT NAM THANG 3 SO 1/2014 Nhiem s aureus tt^ Khong 0,0 11,1 20,0 P < 0,05 Nhan xet Ket qua bang tren cho thay tren nhii''''ng dung cu nhiem VSV thi ty le nhiem VSV tren thye pha''''m chin cao hdn nhi[.]
Y HOC VltT NAM THANG - SO 1/2014 20,0 Nhiem 11,1 tt^ P < 0,05 Khong 0,0 s.aureus Nhan xet: Ket qua bang tren cho thay: tren nhii'ng dung cu nhiem VSV thi ty le nhiem VSV tren thye pha'm chin cao hdn nhii'ng dung cu khong nhiem VSV Sy khac biet co y nghTa thong ke vdi (P6l TU'DNG VA PHU'aNG PHAP NGHIEN CO'U €>oi tu'dng nghien cu'u: Cd sd vat chat, trang thiet bi quan ly CTRYT gom; so lypng rac thai phat sinh, dung eu phan loai, thu gom, phydng tien van chuyen, khu vyc lull giu* CTRYT d 25 khoa lam sang va can lam sang Cac so sach theo doi va bao cao lien quan ve quan ly chat thai ran y te Thiet ke nghien cii'u: Nghien eiru quan sat, mo ta cat ngang 2.3 Phu'dng phap t h u t h a p so lieu Danh gia thye trang phan loai, thu gom, van chuyen, Iwu gid CTRYT dydc thye hien bang phydng phap quan sat thdi diem dien hoat dpng ehuyen mdn eao nhat va dien vao bang kiem tai 25 khoa lam sang va can lam sang Thdi gian quan sat la thdi diem dien hoat dong chuyen mdn eao nhat, dieu tra vien chpn vi tri quan sat khdng gay sy chii y doi vdl NVYT thye hien nhii'ng thao tae phan loai, thu gom, van chuyen, lu'u gid CTRYT thdi gian quan sat cho moi khoa la 60 phiit Cac thdng tin deu diCdc lyu lai bang hinh anh Y HQC VI$T NAM THANG - SO 1/2014 Thu thap cac so lieu duWc lay bJ" so saeh cua eae cau hdi tir eau 15 den eau 25, moi eau tra Idi dung khoa phdng; phdng xir ly rac thai, Khoa Kiem soat dydc diem, tong diem la 11, diem dat la tir diem trd len Bien thu gom CTKfi ed eau hdi tir nhiem khuan va cac so giao nhan rac hang cau 26 den cau 30, moi cau tra Idi diing dyoc 2.4 Xir ly va phan tich so lieu: 2.4.1 Cich tinh diem cac bien: Moi quan diem, tdng diem la 5, diem dat la tir diem trd sat dung hoae tra Idi diing dypc diem Quan ien Bien van ehuyen CTRYT ed cau hdi tir cau sat thay khac vdi quy trinh hoae tra Idi sai (khdng 31 den eau 36, mdi cau tra Idi dung du'pc diem, day dil) du'de diem Bien to hop dypc xem la td'ng diem la 6, diem dat la tir diem trd len Bien "Dat yeu cau" tong diem dat tir 50% trd len lyu giii' CTRYT cd eau hdi ty eau 37 den cau 39, 2.4.2 Tinh diem quan sat: Bien dung cu moi eau tra Idi dung dypc diem, tong diem la 3, phan loai, thu gom va van chuyen CTRYT ed 14 diem dat la tir diem trd len cau hdi tir cau; den eau 14, moi cau tra Idl 2.4.3 So iieu sau thu thip: Se dydc dung dyde diem, tong diem la 14, diem dat la lam saeh ma hda va nhap bang phan mem Epidata tir diem trd len; Blen phan loai CTRYT ed 11 3.1 va phan ti'eh bang phan mem SPSS 16.0 KET QUA VA BAN LUJ?IN 3.1 Thu'c trang phan loai, thu gom, van chuyen va lu'u giu' chat thai ran y te Bieu 1: Khoi lydng eae loai (ZTKfT tai BV 05 thang dau nam 2013 D C T R Y T DCTRYT thong thtfong DCTRYT nguy h Ke/thdng 120,000 100,000 BO,000 60,000 40.000 20,000 0.51( , 7,32 ThSng ThSng Nh$n x6t: Ket qua nghien ciru cho thay khdi lydng CJKCi phat sinh thang dau nam 2013 tal BV da khoa tinh Khanh Hda trung binh la 50.596kg/thang Ty le thay ddi theo moi thang, khoi lypng CTRYT thdng thydng la 35.648kg/thang va khdi lypng CTRXT nguy hai la 14.948kg/thang (bieu dd 1) Khdi lydng CTRYT binh quan tren GB eao nhat la vao thang (1,72 kg), thang thap nhat ehi ed 1,63 kg/GB/ngay Lyong CTRYT binh quan dydc thang dau nSm 2013 la l,67kg/GB/ngay .9,66: 3,29:: ; o,59( Thang TB Ih^ng Luan giai sy khac biet khdi lydng CTRYT giu'a eae thang, ehiing tdi eho rang lydng rac thai phu thudc vao lypng BN lyu trii tai BV qua so sach thong ke, cae bao eao thang va bao eao quy ciia BV nam 2013 [3] cho thay thang cd sd lydng BN va sd BN phau thuat giam so vdi cae thang khae vi day la miia xuan, hdn nu'a la thang cudi nam va can tet am lich Thang gia tang sd lydng BN va sd lan phau thuat Khanh Hda vao miia he nang ndng nen cae benh ly tim mach va cac benh truyen nhiem cung gia tang vi the lydng CTRYT eung gia tang tydng irng, Y HOC VIET NAM THANG - b U i / i Bieu 2: Khdi lydng eac loai CTRYT/GB/ngay tai BV Da khoa tinh Khanh Hda 05 thang dau nam 2013 JOCTRYT D C T R Y T Ihong thutmg D C T R Y T nguy hat I Thang I Thang Thang Nhan xet: Bieu cho thay tong khdi lydng CTRYT binh quan tren giydng benh eao nhat vao thang la l,72kg/GB/ngay, thang thap nhat chi cd 1,63 kg/GB/ngay Lypng CTRYT binh quan dydc tinh chung thang dau nam 2013 la l,67kg/GB/ Khdi lydng CTRYT thdng thydng binh quan tren giydng benh cao nhat la vao thang la l,21kg/GB/ngay, thang thap nhat chi cd l,16kg/GB/ngay Lypng CTRYT thdng thydng binh quan dypc tinh chung Thang Thang TB thang thang dau nam 2013 la l,18kg/GB/ ngay, Ddi vdi khoi lydng CTRYT nguy hai binh quan tren giydng benh ngay, cung bien dpng theo tirng thang, cd sy khae biet giu'a cac thang: nhy thang la 0,45kg/ngay/GB va thang la 0,51 kg/GB/ngay Khdng cd sy khac biet Idn giOa cac thang 2, thang va thang (dao ddng khoang 0,50 - 0,51kg/GB/ngay Lydng Z^'H nguy hai binh quan dydc tinh chung thang dau nam 2013 la 0,49 kg/GB/ 3.2 Thu'c trang phan loai chat thai ran y te Bing 3.1 Thye trang dung eu thu gom, phan loai, van chuyen CTRYT (n=100) Ket qua dat Noi dung danh gia Tan so Tv le {"/o) Co tui, tilting tliu gom ciiat tiiai rieng biet 100 100 Dung cu thiu gom ciiat ttiai co du mau tiieo quy dinii - I^au trang 100 100 I^iau xanii 100 100 Mau vang 100 100 24,0 - Mau den 24 Tui, tiiung co day, dirdng l^e ngang va tiie ticii toi 100 100 da tiieo quy dinii Co dunq cu du^q vat sat niion dunq quy dinii 96 96,0 Mau cua iiop dtrng vat sac niion dung tiieo quy dinii 00 00 Co tiiung tiiu gom ciiat thai va du'de dat dung ndi quy 100 100 dinii cua l