苏州市医疗机构消化内镜清洗消毒现状调查  

Current status of cleaning and disinfection of digestive endoscopes in medical institutions in Suzhou City

作　　者：张骏骥 李新芳[1] 乔美珍[2] 金美娟[2] 张明霞[3] 王秀珍[4] 汤国红[5] 倪晓燕 张勤英[7] 赵纳辛 滕燕[9] 秦国英 

机构地区：[1]苏州市立医院,江苏苏州215002 [2]苏州大学附属第一医院,江苏苏州215006 [3]苏州大学附属第二医院,江苏苏州215004 [4]苏州大学附属儿童医院,江苏苏州215003 [5]苏州市第五人民医院,江苏苏州215007 [6]苏州市吴江区第一人民医院,江苏苏州215200 [7]昆山市第一人民医院,江苏苏州215300 [8]常熟市第二人民医院,江苏苏州215500 [9]太仓市第一人民医院,江苏苏州215400 [10]张家港澳洋医院,江苏苏州215600

出　　处：《中国感染控制杂志》2017年第7期631-634,共4页Chinese Journal of Infection Control

摘　　要：目的了解苏州市二级及以上医疗机构内镜中心(室)消化内镜的清洗消毒管理现状,对存在的问题提出改进建议。方法 2015年7月对苏州市不同级别的28所医疗机构(三级医疗机构18所,二级医疗机构10所)消化内镜清洗消毒管理现状进行现场调查,并采用ATP生物荧光法对清洗消毒后的消化内镜进行抽样检测。结果被调查的28所医疗机构均设立了单独的内镜清洗消毒室,配置一体化内镜清洗工作站的占89.29%,配置内镜自动清洗消毒机的占17.86%;配备专用多酶洗液、选择正确消毒剂、每日监测消毒剂浓度、消毒时间达标的执行率均为100%。而多酶洗液做到一镜一换的仅占39.29%,清洗消毒人员正确佩戴个人防护用品的占78.57%。现场检测77条消化内镜,合格率为88.31%。结论苏州市二级及以上医疗机构消化内镜清洗消毒管理工作比较规范,但在操作环节上仍存在问题,需严格按国家相关规范执行,进一步提高消化内镜清洗消毒效果。ObjectiveTo investigate the current status of cleaning and disinfection of digestive endoscopes in the endoscope centers （rooms） of secondary and above medical institutions in Suzhou City, find the existing problems and put forward suggestion for improvement. MethodsOnthespot survey on current status of cleaning and disinfection management for digestive endoscopes in 28 medical institutions（18 tertiary medical institutions, 10 secondary medical institutions） was performed, endoscopes were selected and detected with ATP biofluorescence assay after cleaning and disinfection. ResultsAll 28 surveyed medical institutions had separate endoscope disinfection rooms, 89.29% of which had integrated endoscopic cleaning station, 17.86% had automatic endoscope washer/disinfector; 100% used multienzymatic detergent, chose the right disinfectant, monitored disinfectant concentration every day, and implemented standard disinfection time. But only 39.29% changed multienzymatic detergent for each endoscope, cleaning and disinfection personnel in 78.57% of medical institutions wore personal protective equipment correctly. 77 digestive endoscopes were detected, the qualified rate was 88.31%. ConclusionCleaning and disinfection management of digestive endoscope in secondary and above medical institutions in Suzhou City is generally standardized, there are still some problems in the manipulation procedures, relevant national regulations should be strictly complied with, efficacy of cleaning and disinfection of digestive endoscope should be further improved.

关 键 词：消化内镜 清洗 消毒 现状调查 

分 类 号：R187[医药卫生—流行病学]