苏州市医疗机构消化内镜清洗消毒现状调查

发布时间：2019-02-09 17:35

【摘要】：目的了解苏州市二级及以上医疗机构内镜中心(室)消化内镜的清洗消毒管理现状,对存在的问题提出改进建议。方法 2015年7月对苏州市不同级别的28所医疗机构(三级医疗机构18所,二级医疗机构10所)消化内镜清洗消毒管理现状进行现场调查,并采用ATP生物荧光法对清洗消毒后的消化内镜进行抽样检测。结果被调查的28所医疗机构均设立了单独的内镜清洗消毒室,配置一体化内镜清洗工作站的占89.29%,配置内镜自动清洗消毒机的占17.86%;配备专用多酶洗液、选择正确消毒剂、每日监测消毒剂浓度、消毒时间达标的执行率均为100%。而多酶洗液做到一镜一换的仅占39.29%,清洗消毒人员正确佩戴个人防护用品的占78.57%。现场检测77条消化内镜,合格率为88.31%。结论苏州市二级及以上医疗机构消化内镜清洗消毒管理工作比较规范,但在操作环节上仍存在问题,需严格按国家相关规范执行,进一步提高消化内镜清洗消毒效果。
[Abstract]:Objective to understand the current situation of cleaning and disinfection of endoscopy in the endoscopy center (room) of medical institutions above the secondary level in Suzhou, and to put forward some suggestions for improvement. Methods in July 2015, 28 medical institutions of different levels in Suzhou were investigated on the status quo of digestive endoscopy cleaning and disinfection management, including 18 third-level medical institutions and 10 second-level medical institutions. ATP biofluorescence method was used to detect the digestive endoscopy after cleaning and disinfection. Results all the 28 medical institutions investigated had established separate endoscopic cleaning and disinfection rooms, 89.29% of them were equipped with integrated endoscopic cleaning workstations, 17.86% were equipped with automatic endoscopic cleaning and disinfection machines. Equipped with special multi-enzyme lotion, select the correct disinfectant, daily monitoring the concentration of disinfectant, disinfection time up to the implementation rate of 100. However, only 39.29% of the disinfectants wear PPE correctly, and 78.57% of them wear PPE correctly. 77 digestive endoscopes were examined on the spot, and the qualified rate was 88.31%. Conclusion the management of digestive endoscopy cleaning and disinfection in medical institutions of Suzhou and above is standard, but there are still some problems in the operation, which should be carried out strictly in accordance with the relevant national norms to further improve the efficacy of digestive endoscopy cleaning and disinfection.
【作者单位】：苏州市立医院;苏州大学附属第一医院;苏州大学附属第二医院;苏州大学附属儿童医院;苏州市第五人民医院;苏州市吴江区第一人民医院;昆山市第一人民医院;常熟市第二人民医院;太仓市第一人民医院;张家港澳洋医院;
【分类号】：R197.39

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