污染器械是否应在使用科室进行预处理的辩证思考与探索  

The dialectical thinking and exploration on whether contaminated medical instruments should be pretreated at the points-of-use

作　　者：孙庆芬 赵静[2] 张美霞[2] SUN Qing-fen;ZHAO Jing;ZHANG Mei-xia(Affiliated Hospital of Inner Mongolia Chifeng University,Chi f eng ,Inner Mongolia Autonomous Region 024000,China)

机构地区：[1]赤峰学院附属医院感染管理科,内蒙古赤峰024000 [2]包头市中心医院医院感染管理科,内蒙古包头014040

出　　处：《中华医院感染学杂志》2018年第23期3671-3673,共3页Chinese Journal of Nosocomiology

摘　　要：讨论污染器械是否应在使用科室进行预处理。持不同观点的两组学者,围绕污染器械是否应在使用科室进行预处理展开探讨,全过程分破题立论、总结论点、攻辩、自由讨论、总结陈词五个阶段完成,要求论点清晰,论据充分,引用规范、循证文献作为论据支持论点。有学者认为污染器械在使用科室进行预处理可在最大程度上保证器械的清洗质量和灭菌效果。内镜作为一种特殊的器械,其在床旁进行及时预处理是污染器械在使用科室进行预处理的范例。其他学者认为污染器械进行预处理时需要满足一定的设施条件,而绝大多数使用科室不具备对污染器械进行预处理时所需的设施,易增加环境污染及工作人员职业暴露的风险。器械使用科室和消毒供应中心就污染器械预处理问题如何在工作流程上无缝对接,是做好复用器械清洗灭菌质量的保障。The aim of this paper was to discuss whether contaminated medical instruments should be pretreated at the points-of-use.The two groups of academics with different views discussed about whether contaminated medical instruments should be pretreated at the points-of-use,and the debate included five stages,making the argument, summing up the argument,attack,freedom debate,and summing up,with the requests of clear and adequate argument,in addition to citing normative and evidence-based literature to support the argument.Some academics believed that the pretreatment of contaminated medical instruments at the points-of-use could ensure the cleaning quality and sterilization effect of the medical instruments to the maximum extent.As a special instrument,immediate pretreatment of endoscopy beside the bed unit is an example of the pretreatment of contaminated medical instruments at the points-of-use.Other academics believed that the pretreatment of contaminated medical instruments have requirements of certain facilities,but the majority of the points-of-use lack the conditions.In such case,the risks of environmental pollution and the occupational exposure of staff would increase.How to cooperate efficiently between the points-of-use and the disinfection supply center on the pretreatment of contaminated medical instruments is the key issue to guarantee the cleaning quality and sterilization effect of the multiplexing instruments.

关 键 词：污染器械 使用科室 预处理 

分 类 号：R187[医药卫生—流行病学]