消化内镜清洗消毒流程优化在消化科感染防控中的应用研究  

Study on application of digestive endoscope cleaning and disinfection process optimization in infection prevention and control of digestive department

作　　者：周好杨 任晓敏[1] 张殷雷[1] 唐荣高[1] 杨捷[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院,上海200011

出　　处：《检验医学与临床》2016年第15期2151-2152,共2页Laboratory Medicine and Clinic

摘　　要：目的研究消化内镜清洗消毒流程优化在消化科感染防控中的应用。方法对该院于2013年9月至2015年9月消化内科中消化内镜清洗消毒流程的改进情况作回顾性分析。结果改进前消化道内镜、活检钳的合格率分别为66.0%、72.0%,改进后消化道内镜、活检钳的合格率分别为86.0%、100.0%,改进后合格率明显高于改进前,差异具有统计学意义(P<0.05)。改进前医源性感染率为11.46%,改进后医源性感染率为3.17%,差异具有统计学意义(P<0.05)。结论加强对消化内镜清洗消毒流程的改进,不仅能够提高消化内镜、活检钳清洗消毒合格率,还能够降低医源性感染率,值得推广应用。Objective To study the application of digestive endoscope cleaning and disinfection optimization in the infection pre‐vention and control of the digestive department .Methods The improvement situation of digestive endoscope cleaning and disinfec‐tion process in the digestive department of our hospital from September 2013 to September 2015 were retrospectively analyzed .Re‐sults The qualification rates of digestive tract endoscope and biopsy forceps before improvement were 66 .0% and 72 .0% respec‐tively ,while which after improvement were 86 .0% and 100 .0% respectively ,the qualification rate after improvement was signifi‐cantly higher than that before improvement ,and the differences were statistically significant （P〈 0 .05） .The iatrogenic infection rate before improvement was 11 .46% ,while which after improvement was 3 .17% ,and the difference was statistically significant （P〈0 .05） .Conclusion Strengthening the improvement of digestive endoscope cleaning and disinfection process not only can in‐crease the qualification rate of cleaning and disinfection of digestive endoscope and biopsy forceps ,also can reduce the iatrogenic in‐fection risk ,which is worthy of popularization and application .

关 键 词：消化内镜 清洗 消毒 感染 临床效果 

分 类 号：R573[医药卫生—消化系统]