改良清洗流程对复用性金属管腔器械清洗效果观察

发布时间：2018-12-11 04:28

【摘要】：目的探讨改进清洗流程对复用性金属管腔器械的清洗效果。方法将金属气管内套管、手术中使用金属吸引头等复用性器械600件,随机分为A组(酶泡+超声+刷洗)、B组(酶泡+刷洗+超声+刷洗)、C组(酶泡+刷洗+超声+进清洗机),各200件,通过目测、白纱布或长棉签检测、ATP生物荧光法检测清洗消毒效果。结果目测法、白纱布或棉签法检测以及干燥效果检测结果显示,B组和C组清洗方法的检测合格率均高于A组。经3种方法清洗后器械的ATP生物荧光法检测结果均达到合格标准,B、C两组的RLU值明显低于A组。采用器械竖直放置在干燥柜内的方式较平放在篮筐内,干燥合格率由91%~92%提高到98%~99%;采用器械竖立放置于清洗机内,自动完成清洗、消毒、烘干程序的干燥合格率达到99%~100%。结论采用酶泡+刷洗+超声+清洗机的处理方法,清洗效果最佳。
[Abstract]:Objective to study the cleaning effect of reused metal lumen instruments by improving cleaning process. Methods A total of 600 metal trachea cannula and metal suction first class reused instruments were randomly divided into two groups: group A (), B group). Group C (enzyme bubble scrubbing ultrasonic washing machine), each 200 pieces, through visual testing, white gauze or cotton swabs detection, ATP biological fluorescence method to detect the efficacy of cleaning and disinfection. Results the results of visual test, white gauze or cotton swabs test and drying effect test showed that the qualified rate of cleaning methods in group B and C was higher than that in group A. The results of ATP biofluorescence assay of the instruments washed by three methods were up to the standard, and the RLU values of group B and C were significantly lower than those of group A. The dry pass rate was increased from 91% to 98 ~ 99% when the equipment was placed vertically in the drying cabinet and was placed flat in the hoop, and the qualified rate of drying was increased from 91% to 98%. Adopt the apparatus to stand in the cleaning machine, automatic cleaning, disinfection, drying process of drying up to 99% 100. Conclusion the treatment method of ultrasonic cleaning machine with enzyme bubble is the best.
【作者单位】：武汉大学中南医院;
【分类号】：R187

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