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三磷酸腺苷技术在器械清洗质量控制中的应用

发布时间:2018-04-04 02:09

  本文选题:三磷酸腺苷 切入点:多酶预浸泡 出处:《中华医院感染学杂志》2014年18期


【摘要】:目的使用三磷酸腺苷(ATP)快速检测技术调查复杂器械的清洗效果,建立器械清洗质量的控制标准,指导临床工作实践。方法选择耐湿耐热的复杂器械共100件,分为A组和B组,A组中50件器械分成5批,每批预浸泡和超声中的多酶分别使用新配制、放置1、2、3、4h后的5种不同条件下多酶清洗液,B组中50件器械也分成5批,每批预浸泡和超声中的多酶均不更换直至清洗结束,清洗完成后使用ATP检测仪读取每件器械的RLU值。结果 A组中50件器械,清洗每批器械均更换多酶,1h内配制的多酶清洗20件器械均合格,合格率100.0%,使用放置1~4h的多酶进行清洗剩余30件器械,合格26件,清洗合格率在80.0%~90.0%;B组的多酶清洗液一直重复使用,中间不进行更换,清洗的10件器械全部合格,合格率为100.0%,多酶清洗液重复3次以后清洗的20件器械,均不合格。结论使用ATP检测仪以RLU≤200作为复杂器械清洗是否合格标准能反应清洗的效果;多酶清洗液配置好后宜在1h内使用,最好现配现用,做到多酶清洗液一次一换。
[Abstract]:Objective to investigate the cleaning effect of complex instruments by using adenosine triphosphate (ATP) rapid detection technique, to establish the quality control standard of cleaning equipment, and to guide clinical practice.Methods A total of 100 complex instruments were selected and divided into two groups: group A and group B, 50 of which were divided into 5 batches.In group B, 50 instruments in group B were divided into 5 batches under 5 different conditions. The RLU values of each batch were not replaced until the cleaning was finished by ATP detector.Results in group A, 50 sets of instruments were cleaned and 20 instruments prepared within 1 hour after cleaning were replaced, and the qualified rate was 100.0.The remaining 30 instruments were washed with multi-enzymes placed for 1h, 26 of them were qualified.The qualified rate of cleaning was 80.090.0in group B, the multi-enzyme cleaning liquid was repeatedly used, no replacement was carried out in the middle, all the 10 cleaning instruments were qualified, the qualified rate was 100.00.The 20 instruments washed after repeated three times with the multi-enzyme cleaning liquid were all unqualified.Conclusion RLU 鈮,

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