高压蒸汽灭菌包内化学指示剂与PCD批量监测效果研究

发布时间：2018-02-24 09:28

本文关键词： 压力蒸汽灭菌化学指示剂过程挑战检测装置监测效果　出处：《中华医院感染学杂志》2015年24期 　论文类型：期刊论文

【摘要】：目的调查两种化学指示剂在高压蒸汽灭菌中的监测效果,了解两种化学指示剂灵敏度,确保消毒灭菌效果,保障医院平战时消毒灭菌物品供应。方法于2014年9月选择了器械包、敷料包、应急采血物资包、铺巾包各50个,每个包在同一部位放置两种3M化学指示剂和1种3M生物指示剂,分5锅次灭菌完成,对比灭菌合格率,数据采用SPSS 17.0软件进行统计分析。结果 1250多参数包内化学指示卡检测器械包合格率为78.0%、敷料包为96.0%、应急采血物资包为94.0%、铺巾包为98.0%;1243A综合参数包内化学指示卡监测灭菌合格率100.0%;1292嗜热脂肪杆菌指示剂监测灭菌合格率100.0%;每锅次41360化学过程挑战检测装置(PCD)和1292生物测试包监测合格率100.0%。结论 PCD批量监测可以保证锅内所有灭菌物品安全合格;在紧急情况下,可以用含有第五类化学指示剂的PCD进行监测,提前放行植入型医疗器械。
[Abstract]:Objective to investigate the monitoring effect of two kinds of chemical indicators in high pressure steam sterilization, to understand the sensitivity of the two chemical indicators, to ensure the disinfection and sterilization effect, and to ensure the supply of sterilizing and sterilizing articles in peacetime and wartime in hospitals. Methods in September 2014, the instrument kits were selected. Dressing package, emergency blood collection material package, spreading towel bag 50 each, each bag placed two kinds of 3M chemical indicator and one kind of 3M biological indicator in the same part, which were sterilized in 5 pans, and the eligible rate of sterilization was compared. The data were analyzed by SPSS 17.0 software. Results the qualified rate of chemical indicator card in 1250 parameter package was 78.0, the dressing package was 96.0, the emergency blood collection material package was 94.0, the napkin bag was 98.0 and 1243A comprehensive parameter package. The qualified rate of sterilizing test was 100.00.The qualified rate of thermophilic Adiposis thermophilus indicator was 100.00.Conclusion PCD batch monitoring can ensure the safety of all sterilizing articles in the pot, and the qualified rate of 41360 chemical process challenge detection device per pot and 1292 biological test kit is 100.00.Conclusion the batch monitoring of PCD can ensure the safety of all sterilizing articles in the pot. In case of emergency, PCD containing 5th chemical indicators can be used to monitor and release implantable medical devices in advance.
【作者单位】：南京军区南京总医院消毒供应科;广州军区武汉总医院保健科;南京军区南京总医院信息科;
【基金】：解放军重大基金资助项目ANJ13JJ001 南京军区医学科技创新基金资助项目(14ms101)
【分类号】：R187

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