湖南省耳鼻喉科内镜清洗消毒现况调查与分析

发布时间：2018-04-26 08:28

本文选题：耳鼻喉 + 内镜　；参考：《中南大学学报(医学版)》2016年05期

【摘要】：目的:了解湖南省耳鼻喉科内窥镜清洗和消毒的现状,为完善和提高内镜消毒管理提供对策。方法:通过现场评估、现场调查和现场采样对湖南省100家医疗机构耳鼻喉科内窥镜清洗消毒现状进行调查研究,并进行多因素分析。结果:在制定耳鼻喉科内镜室各项相关规章制度方面,二级医院合格率为28.8%,三级医院合格率为45.0%。在内镜清洗消毒工作环境方面,二级医院达标率为36.3%,三级医院达标率为85.0%,存在的主要问题是无独立的消毒室、消毒室面积不达标、清洗消毒室没有排风系统。对消毒后的内镜和活检钳进行微生物学检测,二级医院达标率为93.8%,三级医院的达标率为95.0%,G~+球菌和G~-杆菌为主要检出的致病菌。多因素分析结果显示内镜清洗消毒人员的从业资质、规范的清洗消毒流程和内镜每天使用次数是影响内镜消毒质量的主要因素。结论:湖南省耳鼻喉科内镜清洗消毒的状况是三级医院比二级医院规范,但在内镜管理与清洗消毒操作方面均需进一步完善,特别需加强基层医院专科人员的培训。
[Abstract]:Objective: to understand the present situation of endoscope cleaning and disinfection in Department of Otorhinolaryngology in Hunan Province, and to provide countermeasures for improving the management of endoscopy disinfection. Methods: the present situation of endoscope cleaning and disinfection in 100 medical institutions in Hunan Province was investigated by field evaluation, field investigation and field sampling, and multivariate analysis was carried out. Results: the qualified rate of the second class hospital and the third grade hospital was 28.8 and 45.0 respectively. In the aspect of endoscope cleaning and disinfection working environment, the rate of reaching the standard of the second grade hospital is 36.3, and that of the third grade hospital is 85.0.The main problem is that there is no independent disinfection room, the area of the disinfection room is not up to the standard, and there is no ventilation system in the cleaning and disinfection room. The microbiological examination of endoscopic and biopsy forceps after disinfection showed that the rate of reaching the standard was 93.8 in the second class hospital and 95.0% in the third grade hospital. The results of multivariate analysis showed that the professional qualification of endoscopic cleaning and disinfecting staff, the standardized cleaning and disinfection process and the frequency of daily use of endoscopy were the main factors affecting the quality of endoscopic disinfection. Conclusion: the condition of endoscopic cleaning and disinfection in the department of otolaryngology in Hunan Province is that the tertiary hospital is more standardized than the second class hospital, but the management of endoscopy and the operation of cleaning and disinfection should be further improved, especially the training of specialists in the primary hospital should be strengthened.
【作者单位】：中南大学湘雅三医院耳鼻咽喉头颈外科;中南大学湘雅公共卫生学院;
【分类号】：R76

【相似文献】