环氧乙烷气体灭菌生物监测不合格原因分析  

Causes of unqualified biological monitoring of ethylene oxide disinfection

作　　者：郑柏湘[1] 倪佳音[1] 

机构地区：[1]绍兴市人民医院消毒供应中心,浙江绍兴312000

出　　处：《中华医院感染学杂志》2013年第5期1117-1118,共2页Chinese Journal of Nosocomiology

摘　　要：目的寻找环氧乙烷气体灭菌生物监测5次不合格原因,讨论整改措施,保证无菌物品的质量。方法从环氧乙烷气体灭菌的各个环节入手,调查、分析原因,讨论、提出整改措施。结果环氧乙烷气体量不足、小瓶分装技术不达标、塑料袋质量差、装载过多和操作人员知识缺乏、责任性不强等均是引起生物监测不合格,导致灭菌失败的原因。结论严把环氧乙烷气体进货质量关,加强操作人员相关知识培训,规范包装并遵守装载原则,严格执行操作规程和灭菌效果监测,是保证灭菌成功的关键。OBJECTIVE To analyze the causes of failure to the biological monitoring of ethylene oxide disinfection for 5 times and explore the rectification measures so as to ensure the sterile quality.METHODS The investigation was carried out by starting from the procedures of the whole disinfection,the causes of failures were investigated,and the rectification measures were put forward.RESULTS The deficiency of ethylene oxide volume,substandard sub packaging technique,poor quality of the plastic bags,overburdened loading,and lack of knowledge and responsibility of the operators were the main causes of failure to the sterilization.CONCLUSION Strict control of the quality of the ethylene oxide,more education for the staff,good packing and following the rule of loading,seriously following the operating regulation and monitoring of sterilization effect of ethylene oxide disinfection are the key points to guarantee the sterile quality.

关 键 词：环氧乙烷气体 灭菌 生物监测 

分 类 号：R187.2[医药卫生—流行病学]