Cov cuab yeej tseem ceeb ntawm cov khoom siv los ntawm solid surface muaj los ntawm qhov tsis muaj rauj nraub hauv qab hluv hluv. Qhov no txhais tau tias cov microbe tsis tuaj yeem nyob hauv cov khoom no. Txag thiab cov hlub rooj uas muaj sib txuas yog sib txawv vim tias lawv muaj cov ntim me me uas cov kab ntsaum tshaig nyob hauv. Cov solid surface tsim ib qhov chaw sib txuas tsis muaj cov chaw nyob tshaig no. Cov kev suav sau tshooj tias cov kab ntsaum tsis tuaj yeem tawm ntau li 95% ntawm cov khoom siv laminate tshaiv. Qhov no tseem ceeb vim li cas? Cov khoom no tsis ntxig dej ntau, thiab vim tias dej yog qhov uas pab ntxuav thiab kab ntsaum nyob, lawv tsis tshaig tshaj tawm tib si tshaig tshaj tawm ntau yam khoom tshaig. Yog li ntawd, cov chaw pheej hmoo, cov chaw ua noj, thiab lwm yam chaw uas xav tau kev saum yuav zoo feem ntau xaiv cov solid surface rau lawv cov chaw ntxig thiab tsev ntoo.
Cov txiv thaiv nyob hauv keeb kwm muaj kev cuam tshuam ntau yam li ntawm ib cheem siv tau li $28 billion ib xyoo. Qhov chaw nyob rau cov neeg noj rov tshaib no muaj teeb meem loj dua qhov lwm chaw vim tias cov neeg hnub nyoog muaj qhov kev ceeb toom tsim nyog uas tsis tu ncua. Cov neeg uas muaj kev cuam tshuam hauv chaw no muaj feem nplooj tshaj li 11 zaug los ntawm kev cuam tshuam HAIs kom compared to others in the broader population. Vim tej teeb meem no, ntau tus neeg saib xyuas chaw nyob tau coj kev tswj hwm kev cuam tshuam mus rau hauv kev tsim kho chaw nyob. Ib co chaw nyob rau cov neeg noj rov tshaib tau pib hloov kho tshuab nrog rau cov khoom siv hauv chaw uas neeg siv ntau, xws li lub pob thiab lub raj. Kev hloov no zoo ib txhis - chaw uas hloov tau pom tias muaj kev cuam tshuam tsawg dua li 40%. Qhov no yog ib qho tseem ceeb vim tias cov khoom uas muaj pem teb dav dav thiab tsis tuaj yeem sov yuav tsis ua rau muaj kev cuam tshuam, thim sis pab tso caij rau cov neeg nyob hauv risk.
Cov khoom siv rau ntoo hlau muaj txoj kev tsim kho tshaib yuav tso cov kab ntsaws leeg rau hauv qhov chaw ntuas thiab sab nraud ntawm cov kab ntuas, uas yuav los ua chaw nyob zoo rau cov phem nyob xwb xauj li C. diff thiab MRSA. Cov khoom tshwj tsis tshiab no yuav tshem tsov tej teeb meem no vim nws tau tsim los ib feem los ntawm kev siv tshuaj tshav tshuaj nqus rau, uas tsim tau cov hmoob yooj yim tsis muaj qhov chaw ntuas. Cov kev soj ntsuam los ntawm pej xeem thiaj pom tias cov hmoob tsis muaj qhov chaw ntuas no yuav kom cov pheeb nyob tsis txawj ua haujlwm nyob rau hauv qhov 70% hnub nyoog hauv kev sib piv rau ntoo hlau tshaib. Tom qab ntawd, vim tus khoom tsis tuaj yeem nrhiav tau, nws raug tag nrho cov kev cai tshuaj tshuaj los ntawm CDC tsis muaj kev puav tswg lossis khaum thaum sijhawm. Yog li no nws yog qhov kev xaum nyob rau chaw uas yuav tsum kom pheeb nyob nyob rau hauv koob yuav tsum muaj nyob rau hauv koob.
Hauv keeb pem nruj uas tau hlo li rooj zaum hlau tuaj yeem pom tib neeg txhawb kom sov tsis pub muaj neeg mob. Qhov kev suav zais uas tau ua ntau xyoo nyob rau hauv qhov keeb pem nruj sawv daws sawv daws tau pom tias muaj ib feem pua cuam tshuam ntawm cov kab mob uas tsis tuaj yeem tsha tshwm nyob rau hauv qhov chaw no zoo li rooj zaum hlau yooj yim. Cov chaw kho mob kev ceeb fwm kuj tau pom tib yam li ntawd—thaum lawv hlo rooj zaum hlau cuan los nrog rooj hlau tshiab, cov kab mob tsis tuaj yeem pom tau 58% siab dua rau hauv qhov chaw nyob ib ncig lub tshuab nres tseg. Yuav ua li cas? Roob hlau tsis tuaj yeem ntaus dej li rooj zaum hlau siv tas li, yog li cov kab mob tsis tuaj yeem nyob hauv rooj hlau no li lawv yuav ua. Cov neeg saib xyuas kuj tso tseg tib neeg tias: kev saib xyuas tau nyuaj dua 30% vim tsis muaj qhov chaw nyiag lossis qhov chaw nyiag uas yuav tsum saib xyuas. Qhov sijhawm ntxiv no pab tau kev lag luaj thiab pab tau cov neeg kho mob tau siv sijhawm ntau dua rau kev kho mob tag lug tsis yog kev tshaib rau kev ntxhiav dej ntxhiav tshuaj.
Thaum pib txog kev tiv thaiv yam ntxwv thiab ua kom meej nyob ib hnub, chaw nruj zoo muaj zog tuaj yeem pom zoo dua li lwm yam khoom nyob hauv qhov chaw tsim khoom. Lub voj voog muaj cov kab ntsug le le ntawm plam muab los tso caij rau kev ntxuav tsha, yog li cov neeg yuav tsum ntxuav ntau heev kom tau. Lub tog ntoo tsis zoo dua ntau, vim tias qhov chaw nyob sab nraud ntawm lub tog yuav tsum siv dhau los, tsim cov chaw uas kev pheej hmub tuaj yeem nyob. Txhua yam chaw nruj ntoo stainless steel kuj tsis tuaj yeem tiv thaiv teeb meem. Lawv pib siab tas, tab sis tom qab siv lawm ntev lawv yuav muaj cov kab ntsug le le uas tsha tuaj yeem mus nyob. Chaw nruj zoo muaj zog tuaj yeem nyob siab tas tsis muaj cov chaw nqus lossis kab uas kev pheej hmub tuaj yeem nyob. Nyob rau hauv hospital thiab chaw tsim khoom noj, cov neeg sawv ceel pom tias lawv tus kws tshaj lij yuav siv nej li 30% tsawg dua kom ntxuav chaw no thaum siv chaw nruj zoo muaj zog dhau los ntawm voj voog lossis laminate. Tom qab ntxuav nrog siv sab looj nrog dab neeg, kev soj ntsuam pom tias tsis muaj yam tsha tsha nyob ntawm chaw nruj zoo muaj zog. Tab sis laminate yuav pom tias muaj teeb meem nyob sab nraud tom qab ntxuav li 50 zaug. Yog li chaw nruj zoo muaj zog tsis yog yog ib txoj hauv kev yooj yim dua los tshuav, tab sis kuj yog ib txoj kev zoo dua rau cov chaw xav tiv thaiv kev ntxuav tsha rawaj thev nram qab CDC.
Cov chaw tsim nyiaj hauv khomer tswv yim kom tshem tau cov kab mob uas cuam tshuam rau qhov rooj hlau ntawm lubtog thiab cov lej lo leeg uas siv hauv pem teb vim tsis muaj qhov chaw ncav ncav lossis cov ntxaij me me uas kab mob tuaj yeem nyob hauv. Nyob rau hauv qhov chaw pab kho mob, kev muaj cov tog raj ntsi suav nrog rau hauv qhov chaw ua haujlwm tsim kom zoo dua vim tsis muaj qhov chaw nyob sab nraud uas daim kab tuaj yeem ruaj nruj. Cov chaw nres nqaum taws yog qhov sawv ceem tiam siab tias cov chaw no txhais tau li cas. Cov kab ntsug thiab ntoo sov nrog tsis pub dej mus txog raws li cov kauv ceev uas tsim los ntawm cov hlau, uas txhais tau tias tsis muaj kab mob tsha hauv qab cov hlau. Thaum kawg, cov chaw no tuaj yeem siv dag dag thiab saib xyuas txhua hnub tsis tu ncua lossis phom. Ua tib xwb, cov hospital thiab chaw pab kho mob tuaj yeem tshaib zoo dhau dua rau lub sijhawm ntev, uas yog qhov tseem ceeb heev thaum muaj ntau tus neeg xav tau kev saib xyuas ntau dua nyob hauv no thaum lawv tab tom kho tawm lossis nyob nyob ib hnub.
Nyob rau hauv cov chaw pabcuam thiab chaw thíb, cov ntaub ntawv muaj zog tshaj plaws tuaj yeem tiv thaiv dej thiab tiv thaiv kab mob ntau tshaj 99% tom qab sau sau, zoo tshaj hauv stainless steel uas feem ntau tiv thaiv kab mob rau hauv cov nqaj ntsuab le le uas tsim los ntawm kev siv theem theem. Rau cov chaw nyob rau tsev neeg laus, tshpecially nyob rau hauv cov chaw sawv tsis thiab cov dej thiab cov dej uas tsis tuaj yeem ntxim, qhov zog tshaj plaws ntawm cov ntaub ntawv no txhooj mus rau 40% tso kom meej tshaj li cov ntaub ntawv ntoo ntoo uas yuav tsum tau muab tshem tawm thiab muab kho kom zoo dua. Vim tias cov ntaub ntawv no tau tsim los ntawm kev tsim tshwj xeeb, cov nqaj ntsuab le le tuaj yeem tshem tawm los ntawm kev sau nrog lub rooj sau, thiab muab cov ntaub ntawv rov qab los ua kom puab tshaj. Qhov no tau zoo tshaj hauv kev thíb uas sim txog 10 xyoo kev siv hauv kev pabcuam. Qhov sib xyaw ntawm qhov zog thiab kev sau sau yooj yim yog qhov uas txhais tau tias vim li cas cov neeg pabcuam feem ntau nyob rau hauv cov chaw uas yuav tsum tiv thaiv kab mob thiab kev siv theem theem yog qhov tseem ceeb tshaj plaws.
Daim ntawv rai nruab tshim yog tsis muaj kab ntsug, txhais tau tias lawv tiv thaiv kev nyob los ntawm tsis pub rau cov microorganism nkag mus lossis sau hauv lawv. Qhov no txo qis meej ntau rau kev tsim kho lub biofilm, ua rau lawv muaj peev xwm tshaj taming kev tswj kom meem.
Daim ntawv rai nruab tshim feem ntau siv nyob rau qhov chaw me meej zoo li khoom nyob, cheeb tsam kuaj xyuas, chaw kuaj mob siab, thiab chaw ntxhu, qhov uas lawv pab tiv thaiv kev tsim kho cov microorganism thiab txhim kho kev saum npaum.
Daim ntawv rai nruab tshim nyob ntev dua li kab ntsug, laminate, thiab stainless steel, vim lawv tsis tsim kab ntsug lossis kab ntses uas tuaj yeem tso cai rau bacteria nyob. Lawv tshem tsov kev tsim kho tseeb tsis tas thauj khoom tshiab.
Tsis, cov tsheb ntxhua sab pov dawb feem ntau yuav tsum tau los ntxhua daim ntawv rai nruab tshim, thiab muaj kev soj ntsuam pom tias tsis muaj kab ntsug ua kom meem tom qab ntxhua.
Khwv nruab ntseg muaj kev lag luam los txhawm rau kom saib xyuas tsawg dua, sau cov khaum nyiag nyiam rau qhov chaw tseem ceeb, thiab kom tsawg yuav tshiab dua vim tias nws nyob tau ntev thiab saib xyuas yooj yim.
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