摘要
目的调查目前全国医院手术器械及敷料管理现状,了解消毒供应中心(CSSD)集中管理,外来医疗器械、植入物管理及腹腔镜处理方法,手术铺单和手术衣材质及洗涤现状。方法选择全国14个省份187所二级及以上医院,采用经过医院感染防控及手术部(室)管理专家论证的调查问卷,通过电子邮件向被调查医院发放自填问卷的形式进行现状调查。结果调查医院中三级医院108所、二级医院79所。手术器械及敷料由CSSD集中管理的医院占52.94%。外来医疗器械由CSSD清洗和消毒灭菌的医院比率分别为90.27%和96.76%。使用单一压力蒸汽灭菌方式灭菌植入物的医院占89.19%。由CSSD清洗和消毒灭菌腹腔镜的医院分别占49.46%和57.61%。超过70%的医院手术铺单和手术衣材质仍为普通棉布。手术铺单和手术衣的清洗消毒三级医院约60%的医院选择委托洗衣机构,二级医院近80%的医院选择医院洗衣房。结论全国CSSD集中管理需进一步落实,外来医疗器械、植入物管理及腹腔镜处理有所改善,但仍有待进一步规范。普通棉布仍然是全国手术铺单和手术衣的主要材质,委托洗衣机构和医院洗衣房均需严格遵守《医院医用织物洗涤消毒技术规范》,保障患者安全。
Objective To investigate management status of surgical instruments and dressings in hospitals in China,understand centralized management of central sterile supply department（CSSD）,management of loaner medical instruments and implants,laparoscopy processing method,as well as material and current washing status of surgical drapes and surgical clothes.Methods 187 second level and above hospitals in 14 provinces in China were selected,aquestionnaire survey proved by experts in healthcare-associated infection control and operating departments（rooms）was adopted,survey was conducted through e-mail to the surveyed hospitals.Results A total of 108 tertiary and 79 secondary hospitals were investigated.52.94% of hospitals performed centralized management for surgical instruments and dressings in CSSD.90.27% and 96.76% of hospitals cleaned and sterilized loaner medical instruments in CSSD respectively.89.19% of hospitals used pressure steam sterilization to sterilize implants.49.46% and57.61% of hospitals cleaned and sterilized laparoscopy in CSSD.More than 70% of hospitals adopted cotton cloth for surgical drapes and surgical clothes materials.About 60% of tertiary hospitals entrusted laundry agencies to wash surgical drapes and clothes,80% of second hospitals washed surgical drapes and clothes in hospital laundries.Conclusion Centralized management of CSSD needs to be further implemented,management of loaner medical instruments and implants,and processing of laparoscopy has improved,but there is still room for further standardization.Cotton is still the main material for surgical drapes and clothes throughout the country,laundry agency and hospital laundry should strictly compliance with The technical specification for washing and disinfection of medical fabrics in hospitals,so as to ensure the safety of patients.
作者
曹洋
刘坤
袁晓宁
陈辉
张越巍
郭莉
武迎宏
何文英
杨雪松
CAO Yang;LIU Kun;YUAN Xiao-ning;CHEN Hui;ZHANG Yue-wei;GUO Li;WU Ying-hong;HE Wen-ying;YANG Xue-song(Peking University International Hospital,Beijing 102206,China;Peking University Third Hospital,Beijing 100191,China;Bei jing Jishuitan Hospital,Beijing 100035,China;Beijing Tian Tan Hospital,Beijing 100050,China;Peking University People＇ s Hospital,Beijing 100044,China;The First Affiliated Hospital of the Medical College of Shihezi University,Shihezi 832008,China)
出处
《中国感染控制杂志》
CAS
北大核心
2018年第7期591-596,共6页
Chinese Journal of Infection Control
基金
中国医院协会<中国医院感染管理工作30周年总结>项目(CHA-2016-026-053)
关键词
手术器械
外来医疗器械
植入物
腹腔镜
手术敷料
消毒供应中心
surgical instrument
loaner medical instrument
implant
laparoscopy
surgical dressing
centralsterile supply department
