A District Health System Within A Biological Safety Cabinet Use, Maintenance, Management Of The Current Situation And Improvement Measures

BackgroundWith the development of science, innovation means of clinical examination of animals, pathogens (including viruses, bacteria, nematodes, etc.), recombinant DNA, directly or indirectly,make more and more such laboratory bio-safety problems.Researchs suggests that 65% of the laboratory infection of unknown cause is because of the formation of infectious pathogenic microorganism's spread of aerosols in the air,while laboratory workers inhale polluted air. In laboratories, many operations can produce aerosols,239 operations were tested, of which generate aerosols, accounting for 86.6%. No matter what kind the microbiology laboratory is,the operation of infectious substances, aerosol production is inevitable. In order to protect the samples, the environment, operating personnel, you must use a biological safety cabinet.ObjectivesBy means of field investigation and monitoring to understand the biological safety cabinet, Hongkou District, the use of the current situation, to analyze the daily use of biological safety cabinets, maintenance, management factors, for the improvement of weak links make the corresponding countermeasures and suggestions.MethodsWe will investigate all of the biological safety cabinet in hospitals and cdc in Hongkou District, then ask the hospital to hire a qualified third party testing company for testing,and to train their doctors how to directly use their biological safety cabinets, In addition,we will analysis the biological safety cabinets'data since 2009, conducted a retrospective cohort study.Results1, The useing of biological safety cabinet:(1) infrastructure:At present, the Hongkou District of medical institutions have been widely used biological safety cabinets, and secondary and tertiary medical institutions have higher usage rate. (2) Operating conditions:Biological Safety Cabinet on operating skills of the operator to grasp the situation is not ideal, the performance of biological safety cabinets is also lack of understanding.2,The maintenance of biological safety cabinets situations:(1) through the recent years, health supervision, the various medical institutions began to understand and contact the manufacturer or third-party testing unit of biological safety cabinets for inspection and maintenance. (2) of the existing standards are not uniform, the factory, maintenance Measurement Bureau results, test results and health requirements of the executive branch to a larger difference.3, the management of biological safety cabinet:(1) within the medical institutions:the health care organization's management, equipment department, medical personnel, the performance of biological safety cabinets do not know, therefore, maintenance and repair of unilateral manufacturers often make medical institutions loss of cost control. (2) Health Administration:the standard is not unified, no basis to make health supervision and law enforcement, but also ignored the operator of biological safety cabinet operating skills supervision.Conclusions and Policy Recommendation1, For the biological safety cabinet on the terms of the relevant departments should strengthen the company, business quality supervision departments, medical institutions, health administrative departments, third-party linkages professional testing organizations, try to use the SO-4P management model, the relevant departments should develop appropriate responsibilities, the quality of personnel management, evaluations, performance management systems and plans. Business quality inspection departments should be prepared as biological safety cabinets production, design quality, manufacturers should be urged to do the recall, repair, maintenance and other service work. Medical institutions for the procurement of biological safety cabinets and laboratory equipment should be families, medical institutions should be based on the actual situation and needs to communicate with each other after the purchase, and master the correct method of operation, and to develop appropriate appraisal system of rewards and punishments to ensure the implementation of the status and responsibility. Health administrative departments of medical institutions for sampling of biological safety cabinets, daily supervision, they should pay attention to staff training, proper organization of biological safety cabinets may be operating training, and biological safety cabinets include the results of the daily supervision of medical institutions annual evaluation requirements. And industrial and commercial administrative departments of health information exchange quality inspection departments should also work well. In view of the professional third-party testing organizations, health administration, industrial and commercial quality inspection departments, medical institutions, manufacturers may apply for the necessary technical exchanges, to ensure the biological safety cabinet can be good quality and in good running condition, can also always keep up the quality of the management of the active state. In addition, the need for government planning, management, coordination.2,For the health administrative departments concerned, to try 4R management model, based on the actual situation of each area, some with faces, focus, follow the first instance, the second investigation, three measurements, four cores, five question of regulation of biological preventive safety cabinet prior audit, the verification of biological safety cabinets for medical management system to establish the situation, the verification of biological safety cabinets "dynamic files, to enhance operator skills in supervision, to ensure the biological safety cabinet in a good working environment is correct operation, the normal run and play the role of its good biological protection.