某省120所医疗机构内镜清洗消毒现状问卷调查结果分析  

Questionnaire survey on current situation of endoscope cleaning and disinfection in 120 medical institutions in a province

作　　者：凌琳 胡成文 胡敏 LING Lin;HU Cheng-wen;HU Min(Endoscopy Center,Anhui Medical University Affiliated Provincial Hospital,Hefei 230001,China;Nursing Department,Anhui Medical University Affiliated Provincial Hospital,Hefei 230001,China)

机构地区：[1]安徽医科大学附属省立医院内镜中心,安徽合肥230001 [2]安徽医科大学附属省立医院护理部,安徽合肥230001

出　　处：《中国感染控制杂志》2020年第4期353-359,共7页Chinese Journal of Infection Control

摘　　要：目的了解某省医疗机构内镜清洗消毒现状,为实施《软式内镜清洗消毒技术规范》WS507—2016及内镜质量控制中心下一步工作重点、研究方向提供理论保障及技术支持。方法采用方便抽样法抽取130所开展内镜诊疗的医疗机构,并对其内镜清洗消毒现状和质量控制管理的效果评价等进行问卷调查。结果纳入120所医疗机构(其中三级医疗机构36所,二级医疗机构84所)内镜中心(室)共计1318名护理人员,专职内镜清洗消毒人员149名,专职内镜清洗消毒人员入职前培训率为28.19%(42名)。全自动洗消机配置率为35.00%(42所),27.50%(33所)的医疗机构防护用品配置齐全,三级医疗机构在内镜设计布局、基础设施设备(除清洗消毒间通风设备外)等方面均优于二级医疗机构(均P<0.01);60.00%(72所)的医疗机构内镜清洗液一镜一换,三级医疗机构优于二级医疗机构(P<0.01);19.17%(23所)医疗机构内镜清洗消毒工作使用信息化追溯系统,37.50%(45所)医疗机构有清洗质量监测,92.50%(111所)医疗机构有消毒质量监测。结论各级医疗机构对内镜清洗消毒重视不够,内镜清洗消毒技术欠规范,需要加强内镜清洗消毒监管力度,解决质量控制监管中存在的重点及难点。Objective To understand the current situation of endoscope cleaning and disinfection in medical institutions(MIs)in a province,and provide theoretical and technical support for the implementation of Regulation for cleaning and disinfection technique of flexible endoscope WS 507—2016 as well as next work focus and research direction of endoscopy quality control center.Methods 130 MIs which performed endoscopic diagnosis and treatment were selected by convenient sampling method,endoscopic cleaning and disinfection status and the effect evaluation of quality control management were surveyed by questionnaire.Results A total of 1318 nurses in endoscopy centers(rooms)in 120 MIs(including 36 tertiary MIs and 84 secondary MIs)were surveyed,including 149 full-time endoscope cleaning and disinfection personnel,and the pre-job training rate of them was 28.19%(n=42).The allocation rate of automatic washing and disinfection machine was 35.00%(42 MIs),27.50%(33 MIs)had complete protective equipment,tertiary MIs were superior to secondary MIs in the design and layout of endoscopy centers/rooms(except cleaning the ventilation equipment in the disinfection rooms)(both P<0.01);60.00%(72 MIs)of MIs changed endoscope cleaning solution after each cleaning,tertiary MIs were superior to secondary MIs(P<0.01);19.17%(23 MIs)used information tracing system for endoscope cleaning and disinfection,37.50%(45 MIs)performed cleaning quality monitoring,92.50%(111 MIs)performed disinfection quality monitoring.Conclusion All levels of MIs do not pay enough attention to the cleaning and disinfection of endoscope,cleaning and disinfection technique of endoscope is not standardized.It is necessary to strengthen the supervision of cleaning and disinfection of endoscope,and solve the key and difficult points in the supervision of quality control.

关 键 词：医疗机构 软式内镜 清洗消毒 现况调查 

分 类 号：R187[医药卫生—流行病学]