Objective To evaluate the application of enzyme in instrument cleaning for hospital sterile reprocessing and different factors that impact the enzyme activity.Methods Standard soil objects for instrument cleaning qual...Objective To evaluate the application of enzyme in instrument cleaning for hospital sterile reprocessing and different factors that impact the enzyme activity.Methods Standard soil objects for instrument cleaning quality evaluation,as testing coupons,were identified and used to evaluate different cleaning processes designed with varied conditions.Between testing groups using enzymatic detergent versus non-enzymatic detergent,the amount of residual protein on the testing coupons were quantified and compared at different soaking time(10min,20min,30min,45min and 60min).Then,within the enzymatic detergent group,different testing conditions were further explored by adjusting factors,in⁃cluding the soaking temperature(25°C,30°C and 45°C),use solution pH(7.0,8.0),and enzyme dosing(1/80,1/40,1/20,3/40,1/10 and 3/20 in v/v).Then,through an observational comparative study for each testing condition,the time needed to achieve a complete soil removal through visual inspection of the testing coupons was documented for analyses.Results In the test of enzymatic detergent versus non-enzymatic detergent,the non-enzymatic group did not show an obvious decline in the residual protein amount(1069μg at 10 min vs.1042μg at 60 min),whereas the enzymatic group showed significant decrease in residual protein quantity(947μg at 10 min vs.620μg at 60 min).Meanwhile,the amounts of the residual protein at different time points in the enzyme group(947μg at 10 min,864μg at 20 min,812μg at 30 min,691μg at 45 min,and 620μg at 60 min)were consistently lower than those at the same time schedule in the non-enzyme group(1069μg at 10 min,1069μg at 20 min,1067μg at 30 min,1059μg at 45 min,and 1042μg at 60 min).Furthermore,within the enzymatic group,the soaking temperature,use solution pH and enzyme dosing factors all appear to impact the enzyme activity and significantly contribute to the cleaning outcomes.Specifi⁃cally,the higher soaking temperature,higher use solution pH and higher enzyme dosing showed 58.4%,20.0%and 34.4%time re展开更多
目的探讨消毒供应中心(central supply service departmet,CSSD)10个工作程序中的特点和规律。方法按照回收、分类、清洗、消毒、干燥、器械检查与保养、包装、灭菌、储存、发放等10个工作程序制定流程,突出重点环节的规范化管理。结果 ...目的探讨消毒供应中心(central supply service departmet,CSSD)10个工作程序中的特点和规律。方法按照回收、分类、清洗、消毒、干燥、器械检查与保养、包装、灭菌、储存、发放等10个工作程序制定流程,突出重点环节的规范化管理。结果 2012年实施CSSD 10个工作程序流程化管理后,与2011年相比,工作人员医院感染知识合格率由66.67%上升至95.83%;消毒隔离措施落实达标率由58.33%上升至91.67%;清洗效果监测达标率由97.22%上升至100.00%;手卫生依从率由53.84%上升至89.17%,差异均有统计学意义(均P<0.05)。结论整个CSSD工作程序突出重点,达到点与面相结合的目的,对把好消毒供应关具有较好的促进作用。展开更多
文摘Objective To evaluate the application of enzyme in instrument cleaning for hospital sterile reprocessing and different factors that impact the enzyme activity.Methods Standard soil objects for instrument cleaning quality evaluation,as testing coupons,were identified and used to evaluate different cleaning processes designed with varied conditions.Between testing groups using enzymatic detergent versus non-enzymatic detergent,the amount of residual protein on the testing coupons were quantified and compared at different soaking time(10min,20min,30min,45min and 60min).Then,within the enzymatic detergent group,different testing conditions were further explored by adjusting factors,in⁃cluding the soaking temperature(25°C,30°C and 45°C),use solution pH(7.0,8.0),and enzyme dosing(1/80,1/40,1/20,3/40,1/10 and 3/20 in v/v).Then,through an observational comparative study for each testing condition,the time needed to achieve a complete soil removal through visual inspection of the testing coupons was documented for analyses.Results In the test of enzymatic detergent versus non-enzymatic detergent,the non-enzymatic group did not show an obvious decline in the residual protein amount(1069μg at 10 min vs.1042μg at 60 min),whereas the enzymatic group showed significant decrease in residual protein quantity(947μg at 10 min vs.620μg at 60 min).Meanwhile,the amounts of the residual protein at different time points in the enzyme group(947μg at 10 min,864μg at 20 min,812μg at 30 min,691μg at 45 min,and 620μg at 60 min)were consistently lower than those at the same time schedule in the non-enzyme group(1069μg at 10 min,1069μg at 20 min,1067μg at 30 min,1059μg at 45 min,and 1042μg at 60 min).Furthermore,within the enzymatic group,the soaking temperature,use solution pH and enzyme dosing factors all appear to impact the enzyme activity and significantly contribute to the cleaning outcomes.Specifi⁃cally,the higher soaking temperature,higher use solution pH and higher enzyme dosing showed 58.4%,20.0%and 34.4%time re
