一次性无纺布不同包装方式对器械包无菌屏障系统的影响  

Effect of different packing methods of disposable non-woven fabric on sterile barrier system of device package

作　　者：王瑾[1] 李娟[1] 高瑞雪[2] 朱亭亭[3] WANG Jin;LI Juan;GAO Rui-xue;ZHU Ting-ting(Central Sterile Supply Department,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Nursing Department,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;National Institute of Environmental Health,Chinese Centre for Disease Control and Prevention,Beijing 100021,China)

机构地区：[1]首都医科大学附属北京安贞医院消毒供应中心,北京100029 [2]首都医科大学附属北京安贞医院护理部,北京100029 [3]中国疾病预防控制中心环境与健康相关产品安全所,北京100021

出　　处：《中国感染控制杂志》2020年第1期63-67,共5页Chinese Journal of Infection Control

摘　　要：目的观察一次性无纺布包装器械包破损情况,分析包装破损的原因,通过改进包装方法提高包装完好性。方法选取2017年10月—2018年12月某院5000个相同规格的手术器械包作为研究对象,按照不同的包装形式分为A—E组(A组:普通篮筐+一次性无纺布;B组:普通篮筐+一次性吸水衬纸+一次性无纺布;C组:平底篮筐+一次性无纺布;D组:平底篮筐+一次性吸水衬纸+一次性无纺布;E组:提篮+平底篮筐+一次性吸水衬纸+一次性无纺布),每组数量1000个,观察记录自包装完成至使用前的七个环节(①包装操作完成;②装载至灭菌架;③灭菌后卸载至存储架;④装入运输车;⑤卸载至手术室存储架;⑥使用前放置在操作台;⑦使用前打开)器械包的破损情况。结果A—E组包装破损率分别为21.7%、13.5%、8.8%、5.2%、0.1%,A组破损率最高,E组破损率最低,各组比较,差异均有统计学意义(均P<0.001)。①—⑦转运环节中包装破损率分别为0、0.24%(12件)、1.04%(52件)、1.44%(72件)、3.44%(167件)、0.30%(15件)、0.46%(23件),除环节①包装破损数量为0以外,各个环节均发生了包装破损,环节⑤破损率最高,器械包进入使用科室直至使用前,破损情况均在持续发生。结论与使用普通篮筐比较,使用平底篮筐进行器械包装破损率更低,增加一次性吸水纸的保护可以进一步改善包装破损情况,器械包转运提篮的使用可以有效减少包装在转运、搬运过程中的损伤。Objective To observe the damage of disposable non-woven fabric used for packing device,analyze the causes of damage of packing,and improve the integrity of package by improving the packing method.Methods From October 2017 to December 2018,5000 surgical device packages of the same specification in a hospital were selected as the research objects,and divided into groups A-E according to different packing methods(group A:common basket+disposable non-woven fabric;group B:common basket+disposable absorbent liner+disposable non-woven fabric;group C:flat bottom basket+disposable non-woven fabric;group D:flat bottom basket+disposable absorbent liner+disposable non-woven fabric;group E:basket+flat bottom basket+disposable absorbent liner+disposable non-woven fabric),each group has 1000 pieces.Damage of device packing at 7 steps from the completion of packing to pre-use was observed and recorded(①completing packing;②loading to sterilization rack;③unloading to storage rack after sterilization;④loading into transport vehicle;⑤unloading to storage rack in operating room;⑥placing on manipulating platform before use;⑦openning before use).Results Damage rates of packing in group A-E were 21.7%,13.5%,8.8%,5.2%,and 0.1%respectively,the highest was in group A and the lowest in group E,differences were all statistically significant(all P<0.001).In transfer step①—⑦,damage rates of packing were 0,0.24%(n=12),1.04%(n=52),1.44%(n=72),3.44%(n=167),0.30%(n=15)and 0.46%(n=23)respectively,except that the number of packing damage of step①was 0,packing damage ccurred in other steps,and step⑤had the highest damage rate,damage of device package occurred continuously until it was pre-used in departments.Conclusion Compared with common basket,damage rate of device packing with flat bottom basket is lower,the use of disposable absorbent paper can further protect the packing from damaging,transport basket can effectively reduce the damage of packing in the process of transportation.

关 键 词：一次性无纺布 器械篮筐 无菌屏障 包装 

分 类 号：R187[医药卫生—流行病学]