摘要
目的了解西安市医疗机构胃镜清洗消毒规范实施情况及消毒效果。方法用现场问卷,调查医护人员胃镜消毒相关知识,胃镜室设施配备及布局,洗消过程及记录等情况。结果采集胃镜内腔面标本148件,附件23件,消毒/灭菌剂54份,采用人工清洗的方法,合格率为75.0%,采用自动洗消机,合格率为15.4%,酸化电位水清洗,合格率77.7%,总体合格率64.9%,活检钳灭菌合格率100%,戊二醛有效含量78%合格。结论西安市医疗机构胃镜清洗消毒工作有所提高,但效果仍不理想,需要加强胃镜规范操作流程和消毒效果的管理。
OBJECTIVE To acknowledge the current administrative situation in gastrointestinal endoscopies in Xi＇an health settings. METHODS Using standard questionnaire to investigate endoscope disinfection related knowledge of the staff, facilities and layout in endoscopy room, washing and decontamination process and operating records. Samples were collected from gastrointestinal endoscope channels, biopsy forceps, disinfectants and the water in bottles. Then laboratory analysis was employed to check bacteria count, pathogen and efficient components of disinfectants. RESULTS Among 35 hospitals monitored, manual cleaning the endoscope was used by 29 hospitals, from which 75% samples were up to standard of guideline. The qualification rate of using automatic washing devices and acidic electrolytic water to disinfect endoscope was 15% and 78%, respectively. All biopsy forceps were up to standard. 78% Efficient components of glutaraldehydes were up to 2%. CONCLUSIONS The rate of using automatic washing devices to clean gastrointestinal endoscopy is still low. It is important to strengthen supervision of hospital gastrointestinal endoscope disinfection to control nosocomial infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第2期173-174,共2页
Chinese Journal of Nosocomiology
关键词
胃镜
消毒
监测
Gastrointestinal endoscope
Disinfection
Supervision
