沿海五省市127所医院医疗器械清洗情况的调查研究

发布时间：2019-03-20 15:28

【摘要】：目的调查127所医院消毒供应中心器械清洗的现状,旨在为提高消毒供应中心器械清洗质量、降低感染风险、进一步规范器械清洗流程提供参考。方法便利选取127所医院消毒供应中心,采用问卷对医院消毒供应中心的设备配置、器械转运情况及清洗剂的选择、器械漂洗情况进行调查。结果超声清洗机和喷淋式清洗机配置率分别为96.6%和78.7%,6.3%使用生理盐水进行预清洗,3.9%使用无菌水进行预清洗;11.0%用自来水进行终末漂洗;78.7%在污染器械转运途中无持续保湿处理;66.9%把多酶清洗剂作为唯一的选择;半数以上的消毒供应中心在手工漂洗和终末漂洗时不记时间。结论 127所医院消毒供应中心医疗器械清洗设备总体配置较好,但仍需重视器械清洗用水的规范,提高器械转运速度并推广持续保湿处理,进一步完善清洗剂的使用标准并建立漂洗和终末漂洗质量的评价标准,确保医疗器械的清洗质量。
[Abstract]:Objective To investigate the current situation of the device cleaning of the disinfection and supply center in 127 hospitals, aiming at improving the cleaning quality of the disinfection and supply center device, reducing the risk of infection and further regulating the cleaning process of the device. Methods The disinfection and supply center of 127 hospitals was selected, the equipment configuration of the hospital disinfection and supply center, the transfer of the device and the selection of the cleaning agent, and the rinsing of the device were investigated by using the questionnaire. Results The configuration rates of the ultrasonic cleaning machine and the spray type cleaning machine were 96.6% and 78.7%, 6.3% were pre-washed with normal saline, 3.9% were pre-cleaned with sterile water, 11.0% were terminal-rinsed with tap water, and 78.7% had no continuous moisture-retaining treatment during transport of the contaminated device. 66.9% of the multi-enzyme cleaning agent was selected as the only option; more than half of the disinfection supply centers were not time-recorded during manual rinsing and terminal rinsing. Conclusion 127 The general configuration of the medical device cleaning equipment of the hospital disinfection and supply center is good, but it is still necessary to attach importance to the specification of the device cleaning water, to improve the transport speed of the device and to promote the continuous moisture-keeping treatment. Further improve the use standard of the cleaning agent and establish the evaluation standard of the rinsing and the terminal rinsing quality to ensure the cleaning quality of the medical device.
【作者单位】：温州医科大学眼视光学院;温州医科大学附属眼视光医院护理部;
【基金】：国家卫生计生委科学研究基金—浙江省医药卫生重大科技计划2017年度立项课题(WKJ-ZJ-1727) “十三五”省一流学科建设项目(浙政办函[2016]6号)
【分类号】：R47

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