脉动真空压力蒸汽灭菌器灭菌效果的监测

发布时间：2019-07-24 08:04

【摘要】：目的高压蒸汽灭菌是医院医疗器械和物品的主要灭菌方式,探讨使用脉动真空压力蒸汽灭菌器的灭菌效果,为消毒灭菌提供参考依据。方法回顾性调查2006-2009年共监测用脉动真空压力蒸汽灭菌器的灭菌的医疗器械及物品共18 978份,依据原卫生部《清洗消毒及灭菌技术操作规范》对灭菌物品进行正确包装、装载及卸载,同时加强灭菌设备的管理,注重灭菌员的专业知识技能培训;对所有灭菌物品分别进行生物监测、B-D测试及化学监测,找出影响灭菌效果的相关因素。结果 18 978份灭菌医疗器械及物品进行生物监测201次,合格率为88.56%;B-D测试3 250次,合格率为89.78%;化学监测共进行15 527次,平均合格率为91.50%,经干预后合格率达99.27%。结论脉动真空压力蒸汽灭菌器具有灭菌时间短、灭菌彻底的优点,有效降低医院感染的发生,保障了灭菌物品的质量安全。
[Abstract]:Objective High pressure steam sterilization is the main sterilization method of hospital medical devices and articles, and to explore the sterilization effect of pulse vacuum pressure steam sterilizer, so as to provide reference for disinfection and sterilization. Methods A total of 18978 sterilized medical devices and articles for monitoring pulse vacuum pressure steam sterilizer from 2006 to 2009 were investigated retrospectively. according to the original Technical operating Code of cleaning, Disinfection and Sterilization, the sterilized articles were packaged, loaded and unloaded correctly, the management of sterilization equipment was strengthened, and the professional knowledge and skill training of sterilizers was paid attention to. Biological monitoring, B / D test and chemical monitoring were carried out to find out the related factors affecting the sterilization effect. Results 18 978 sterilized medical devices and articles were monitored 201 times, the qualified rate was 88.56% / B / D test 3.250 times, the qualified rate was 89.78%, the chemical monitoring was carried out 15527 times, the average qualified rate was 91.50%, and the qualified rate was 99.27% after intervention. Conclusion the pulse vacuum pressure steam sterilizer has the advantages of short sterilization time and thorough sterilization, effectively reduces the occurrence of hospital infection, and ensures the quality and safety of sterilized articles.
【作者单位】：聊城市人民医院消毒供应室;
【基金】：山东省科技发展计划基金资助项目(2012YD18027)
【分类号】：R187.4

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