洁净手术器械打包前放置时间的研究

发布时间：2018-04-27 17:38

本文选题：手术器械 + 清洗　；参考：《中华医院感染学杂志》2014年20期

【摘要】：目的探讨手术器械清洗合格后包装前的放置时间,以确保手术器械的灭菌质量,预防与控制医院感染的发生。方法选择医院手术室重复使用的止血钳、持针钳、肠钳、剪刀共4类手术器械,每种60件,随机分为6组,暴露在消毒供应中心器械包装间空气中,分别在清洁后,放置30min、1、2、3、4、5h,采用三磷酸腺苷生物荧光法测定其相对荧光强度(RLU),采用SPSS13.0软件对检测数据进行统计分析。结果 4类手术器械在空气中暴露30min、1h合格率分别为100.0%、90.0%~100.0%,与即刻组相比,差异无统计学意义,在空气中暴露2、3、4、5h合格率分别为70.0%~90.0%、70.0%~80.0%、50.0%~60.0%、20.0%~40.0%,与即刻组相比,差异有统计学意义(P0.05)。结论器械清洗合格后应及时进行包装灭菌,在清洗后2h内完成包装效果最好,放置时间不宜超过3h。
[Abstract]:Objective to investigate the time of placement before packing after cleaning of surgical instruments to ensure sterilizing quality of surgical instruments and to prevent and control nosocomial infection. Methods A total of 4 kinds of surgical instruments, including needle holder, intestinal forceps, scissors and reused hemostatic forceps, were randomly divided into 6 groups. The relative fluorescence intensity was determined by adenosine triphosphate biofluorescence assay for 5 hours. The data were analyzed by SPSS13.0 software. Results the qualified rates of the four kinds of surgical instruments exposed to air for 30 minutes and 1 hour were 100.00.090 and 90.0, respectively. There was no significant difference compared with the immediate group, and the qualified rates of 70.090.090.070.070.070.070.070.080% 20.0% 40.040.05 h in the air were 70.090.060.020.00.040.0.The difference was statistically significant compared with the immediate group. Conclusion the packing sterilization should be carried out in time after the cleaning of the equipment, and the packing effect is the best within 2 hours after cleaning, and the placing time should not be more than 3 hours.
【作者单位】：解放军第309医院消毒供应中心;解放军第309医院护理部;
【基金】：中华医院感染控制研究基金资助项目(ZHYY2012-031)
【分类号】：R187

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