摘要
目的了解目前国内消化内镜超声探头的清洗消毒现状及存在的问题。方法采用问卷调查的方式对全国范围内37所医院的消化内镜超声探头清洗和消毒灭菌情况进行调查。结果70.27%的医院内镜超声探头数量为1~3条,奥林巴斯品牌最多(72.97%),48.65%的医院内镜中心每日使用探头的患者例数为0~5例;83.78%的医院采用专人清洗消毒内镜超声探头,人员主要以护理员为主(51.35%);清洗方法以“酶洗-擦洗-擦干”为主(89.19%),清洗时间以>1 min为主(62.16%);83.78%的医院内镜超声探头消毒方式为化学消毒剂浸泡,其中以邻苯二甲醛(70.27%)和全浸泡消毒(48.65%)为主;消毒时间以≥5 min为主(56.76%);27.03%的医院对内镜超声探头进行灭菌,其中以“一用一灭菌”(21.62%)和过氧乙酸浸泡10 min(10.81%)为主;消毒灭菌后的内镜超声探头主要放置在内镜储存柜(56.76%);78.38%的医院对当日拟使用的内镜超声探头进行再次消毒;56.76%的医院从未对消毒后的内镜超声探头进行消毒效果监测。结论37所医院对内镜超声探头清洗和消毒灭菌情况存在一定差异,建议尽快制定内镜超声探头清洗消毒相关国家标准,规范内镜超声探头的清洗消毒流程。
Objective To understand current situation and existed problems of cleaning and disinfection of ultrasound probes of digestive endoscopes in China.Methods Cleaning,disinfection,and sterilization of ultrasound probes of digestive endoscopes at 37 hospitals in China were investigated through questionnaire.Results 70.27%of the hospitals had 1-3 endoscopic ultrasound probes,most were Olympus brand(72.97%),the number of patients who used probes were 0-5 in 48.65%of the endoscopy centers every day;83.78%of the hospitals cleaned and disinfected endoscopic ultrasound probes by specially-assigned persons,mainly were nurses(51.35%);the main cleaning method was enzyme washing-scrubbing-drying(89.19%),most cleaning time was more than 1 minutes(62.16%);83.78%of the hospitals disinfected endoscopic ultrasound probes through chemical disinfectant immersion,most of which were O-phthalaldehyde immersion(70.27%)and total immersion(48.65%);most disinfection time was≥5 minutes(56.76%);27.03%of the hospitals sterilized the endoscopic ultrasound probes,21.62%of which sterilized probe each time after one patient used and 10.81%of which adopted peracetic acid immersion for 10 minutes;56.76%of the hospitals placed disinfected and sterilized endoscopic ultrasound probes in endoscopic sto-rage cabinet;78.38%of the hospitals re-disinfected endoscopic ultrasound probes on the day to be used;56.76%of the hospitals had never monitored the disinfection efficacy of the disinfected probes.Conclusion There are some differences in the cleaning,disinfection,and sterilization of endoscopic probes in 37 hospitals,it is suggested that the national standards for cleaning and disinfection of endoscopic probes should be formulated as soon as possible to standardize the cleaning and disinfection process of endoscopic probes.
作者
何荣攀
李贤煌
毕正琴
胡露
周梦娇
黄茜
马久红
HE Rong-pan;LI Xian-huang;BI Zheng-qin;HU Lu;ZHOU Meng-jiao;HUANG Xi;MA Jiu-hong(Digestive Endoscopy Center, The First Affiliated Hospital of Yangtze University, Jingzhou 434000, China;Digestive Endoscopy Center, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China)
出处
《中国感染控制杂志》
CAS
CSCD
北大核心
2020年第12期1059-1063,共5页
Chinese Journal of Infection Control
关键词
内镜
超声探头
消毒
灭菌
endoscope
ultrasound probe
disinfection
sterilization
