首页|期刊导航|中国感染控制杂志|《医院洁净手术部建筑技术标准》GB 50333-2013(2026年版)修订内容及感染控制全流程解读

《医院洁净手术部建筑技术标准》GB 50333-2013(2026年版)修订内容及感染控制全流程解读OA

Revisions to GB 50333-2013(2026 Edition)Architectural Technical Code for Hospital Clean Operating Department and interpretation from the perspective of whole-process infection control

中文摘要英文摘要

《医院洁净手术部建筑技术规范》GB 50333-2013自2014年实施以来,长期作为我国洁净手术部规划、建设与运维管理的唯一国家级技术依据.十余年来,随着外科手术微创化、复杂化程度提升及感染防控压力持续加重,原有标准在架构完整性、参数统一性、器械管控及动态过程感染控制等方面逐步显现出适配性不足.2026年局部修订在继承原有框架的基础上进行系统性升级,明确提出"洁净技术不等于感染控制保险箱"的核心理念,通过架构重构、参数统一、器械管控(对接WS 310系列规范、国家卫生健康委员会国卫医发[2018]11号文及YY/T 0506.1-2023)及安全兜底补强,构建起覆盖环境、人员、器械、流程与应急的全流程感染控制体系.本文结合修订公告、编制说明及相关配套标准,对局部修订的重点条文、核心差异、技术逻辑及落地难点进行系统解读,以期为医院基建改造、医院感染预防与控制、临床应用及验收监管提供技术参考.

Since its implementation in 2014,GB 50333-2013 Architectural Technical Code for Hospital Clean Operating Department has long served as the sole national-level technical basis for the planning,construction,operation & maintenance management of clean operating departments in China.Over the past decade,as surgical procedures have become increasingly minimally invasive and complex,and the pressure of infection prevention and control has continued to increase,the original standard has gradually revealed inadequacies in framework integrity,parameter unification,instrument management,and dynamic process infection control.The 2026 partial revision represents a systematic upgrade built upon the existing framework.It explicitly proposes the core concept that"cleaning technology is not equivalent to a safeguard for infection control."Through framework restructuring,parameter unification,instrument management(aligned with the WS 310 series,National Health Commission.Document Guo Wei Yi Fa[2018]No.11,and YY/T 0506.1-2023),and reinforcement of safety safeguards,the revision establishes a whole-process infection control system covering the environment,personnel,instruments,procedures,and emergency response.This article,based on the revision announcement,drafting notes,and relevant supporting standards,provides a systematic interpretation of the key provisions,core differences,technical rationale,and implementation challenges of the partial revision,offering technical references for hospital infrastruc-ture renovation,hospital-acquired infection prevention and control,clinical application,and acceptance supervision.

钟秀玲;曹国庆;沈晋明

应急总医院疾病预防控制处医院感染管理处,北京 100028中国建筑科学研究院有限公司建筑环境与能源研究院,北京 100013同济大学建筑与城市规划学院,上海 200092

医药卫生

洁净手术室感染控制全流程管理器械管控手术部位感染

clean operating roominfection controlwhole-process managementinstrument managementsurgical site infection

《中国感染控制杂志》 2026 (9)

1278-1285,8

10.12138/j.issn.1671-9638.20264329

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