摘要
目的了解吉林省消化内镜清洗消毒现状。方法采用问卷调查方法,调查吉林省62所医院的消化内镜清洗消毒现状。结果平均每家内镜室有洗消人员(3.58±1.74)名,其中有专职洗消员的内镜室占62.90%,人均每日清洗内镜数量为(24.01±15.61)条。58.06%的医院使用2%戊二醛,38.71%的医院使用邻苯二甲醛(OPA),所有内镜室均使用多酶洗液,但能够做到多酶洗液一镜一换的内镜室占66.13%。全自动洗消机配置率为35.48%,超声波附件清洗器的配置率为66.13%,干燥设备的配置率为72.58%,且三级医院的配置率高于二级医院。所有医院均能做到每日监测消毒液浓度,所有三级医院均能做到每周消毒储存环境。结论虽然吉林省消化内镜清洗消毒整体水平有很大提高,但是在人员培训、设备配置、洗消细节的执行上存在很多问题,医院及内镜室管理人员应进一步加强监督管理和培训力度,促进消化内镜清洗消毒规范的执行。
Objective To understand the current status of cleaning and disinfection of digestive endoscopy in Jilin province. Methods Questionnaire was wsed to survey the status of cleaning and disinfection of digestive endoscopy in 62 hospitals in Jilin province. Results The average of cleaning staff in hospital was 3. 58 ± 1. 74,62. 90% of the hospital had full-time cleaning staff. The per capita number of cleaning digestive endoscopy daily is 24. 01 ± 15. 61. The usage of 2% glutaraidehyde and OPA were 58. 06% and 38. 71%. All of the hospital used multienzyme lotion,but the percent of hospital which can change the multienzyme lotion with each endoscopy was 66. 13%. 35. 48% of the hospital purchased the automatic endoscopic washing machine. 66. 13% of the hospital had ultrasound accessories cleaners. 72. 58% had drying equipment. The percent of tertiary hospital was higher than secondary hospital in above three aspects. All the hospital could do daily monitoring the concentration of disinfectant. At the same time,all tertiary hospital could disinfect the storage environment at least once a week. Conclusion Although the cleaning and disinfection of digestive endoscope in Jilin province has improved a lot,there has a lot of problems in the detail of training,equipment configuration and decontamination. The manager should further strengthen the supervision and training in order to carry out the cleaning specification better.
出处
《中国消毒学杂志》
北大核心
2017年第10期932-935,共4页
Chinese Journal of Disinfection
关键词
消化内镜
清洗消毒
问卷调查
digestive endoscopy
cleaning and disinfection
qestionnaire survey
