低温等离子灭菌效果调查分析

发布时间：2018-03-25 07:52

本文选题：低温等离子灭菌　切入点：生物监测　出处：《中华医院感染学杂志》2015年22期

【摘要】：目的调查9所医院低温等离子灭菌效果质量,对生物监测阳性结果进行原因分析,提出有效防范措施。方法用电话沟通法收集3所三级甲等医院和6所二级甲等医院低温等离子机器购买运行开始到2014年6月为止运行状况,收集资料包括:机器品牌、运行总次数、生物监测方法、生物监测阳性率、灭菌物品发放方式、生物监测阳性原因分析及防范措施。结果 3所三级甲等医院共有4台进口低温等离子机器和1台国产机低温等离子机器,6所二级甲等医院全是国产低温等离子机器;进口低温等离子机器4台共灭菌运行7 803锅次,未出现生物监测阳性事件,生物监测阳性率为0;国产低温等离子机器有7台3种品牌,灭菌总运行3 347锅次,共出现15次生物监测阳性事件,平均阳性率为0.45%,存在感染安全隐患。结论国产等离子灭菌器因经济实惠成为基层医院的首选,基层医院可以通过加强对消毒员知识技能培训、规范操作、消除影响灭菌因素、实施每锅生物监测、并确保灭菌物品生物监测阴性后发放,才能有效杜绝安全隐患。
[Abstract]:Objective to investigate the quality of cryogenic plasma sterilization in 9 hospitals and analyze the causes of positive results of biological monitoring. Put forward effective preventive measures. Methods collect three hospitals of Grade 3A and six hospitals of second class A by telephone communication. The purchase and operation of cryogenic plasma machines in 6 hospitals of second class A class are beginning to run until June 2014. The data collected include: machine brands, Total running times, biological monitoring methods, positive rate of biological monitoring, distribution of sterilized articles, Results there were 4 imported low temperature plasma machines and 1 homemade low temperature plasma machine in 3 Grade 3A hospitals and 6 second class A hospitals were all made low temperature plasma machines. The imported low temperature plasma machines were sterilized for 7 803 times, and there were no positive events of biological monitoring, and the positive rate of biological monitoring was 0. There were 7 brands of low temperature plasma machines made in China and 3 347 pans were sterilized. There were 15 positive events in biological monitoring, and the average positive rate was 0.45, and there was a hidden danger of infection. Conclusion Plasma sterilizer made in China is the first choice for primary hospitals because of its economy and benefits, and basic hospitals can strengthen the training of disinfectors' knowledge and skills. Standard operation, elimination of factors affecting sterilization, implementation of each pot of biological monitoring, and to ensure that the negative biological monitoring of sterilization items issued, can effectively put an end to the hidden dangers of safety.
【作者单位】：浙江省缙云县人民医院院感科;丽水市中心医院供应室;丽水市妇幼保健院供应室;
【基金】：浙江省自然科学基金资助项目(2012-RG/RH-0010) 浙江省缙云县社科联基金资助项目(2014-05)
【分类号】：R187

【参考文献】