贵州省120所医院手术器械及腹腔镜清洗灭菌管理模式调研  

Study on management pattern of cleaning and sterilization of medical instruments and celioscope in 120 hospitals in Guizhou

作　　者：徐艳[1] 石春怀[1] 王萍 牟霞[1] 杨怀[1] 陈京[1] 杨锦玲[1] 

机构地区：[1]贵州省人民医院医院感染管理科 [2]消毒供应中心,贵州贵阳550002

出　　处：《中华医院感染学杂志》2011年第24期5250-5251,共2页Chinese Journal of Nosocomiology

基　　金：贵州省科技厅基金(黔科合SY[2010]3138)

摘　　要：目的调查贵州省手术器械及腹腔镜清洗灭菌管理模式,有效实施医院消毒供应中心行业标准。方法按照卫生部《医院消毒供应中心卫生行业标准》,对贵州省各级医疗机构医院手术器械及腹腔镜清洗灭菌管理现状进行调查。结果 120所医院中85所医院开展腹腔镜手术,84所医院清洗地点为手术室,2所医院有独立的腔镜清洗间;14所医院的手术器械由消毒供应中心全程清洗灭菌,106所医院均在手术室清洗,55.8%医院缺乏相关清洗设备、39.2%为专业欠缺;具备全自动清洗机的医院有6所、有超声清洗机的5所、有水气枪29所。结论各医疗机构手术器械及腹腔镜管理与卫生部要求的集中管理差距很大:主要是受到设备的投入及专业限制,应加强管理,增加投入,规范培训,尽早实现手术室、供应室一体化建设。OBJECTIVE To study the cleaning and sterilization administration mode to surgical mstruments anu celioscope in Guizhou, in order to effect vocation standard of CSSD. METHODS According to MOH vocation standard of CSSD, we carried out an investigation about cleaning and sterilization administration mode o{ surgical instruments and celioscope in Guizhou. RESULTS A total of 120 hospitals, there were 85 hospitals to develop laparoscopic operation in which only 2 hospitals having standalone cleaning place; 14 hospitals surgical instruments were handled in CSSD, others in operating room, about 55. 8~ hospitals lack cleansing equipment, 39. 2~ hospitals deficient in specialty; 6 hospitals have automatic rinser, 5 hospitals have ultrasonic cleaning, 29 hospitals have water chip blower. CONCLUSION There are disparities about Surgical Instruments and celioscope centralized management of medical institutions and MOH ： because of equipment and deficient of specialty, we must strength- en the management, increase the investment and strengthen standardized training, as early as possible to achieve the integration of the operating room with CSSD.

关 键 词：手术器械 腹腔镜 清洗 灭菌 管理 

分 类 号：R197.323[医药卫生—卫生事业管理]