深圳市医疗机构消化内镜室消毒质量现状调查  

Present situation investigation on disinfection quality of digestive endoscope rooms in medical institutions of Shenzhen

作　　者：刘阳[1] 魏方[1] 朱子犁[1] 饶健[1] 杨荣兴 洪文刚 胡银清[2] LIU Yang;WEI Fang;ZHU Zi-li;RAO Jian;YANG Rog-xing;HONG Wen-gang;HU Yin-qing(Shenzhen Center for Disease Control and Prevention,Shenzhen Guangdong 518055;Shenzhen Second People’s Hospital,China)

机构地区：[1]深圳市疾病预防控制中心,广东深圳518055 [2]深圳市第二人民医院

出　　处：《中国消毒学杂志》2021年第8期574-577,共4页Chinese Journal of Disinfection

摘　　要：目的了解深圳市医院消化内镜室清洗消毒现状。方法采用现场调查与现场采样方法,对深圳市26家医院内镜清洗消毒设施、消毒流程和消毒效果等开展调查分析。结果不同等级医院的诊室数量、洗消员数量、内镜数、内镜日门诊量差异有统计学意义(P<0.05),胃镜、肠镜日使用频次差异无统计学意义。全部医院均按规范配置有四或五槽内镜清洗消毒工作站,部分医院未配置干燥设备、负压吸引器、超声清洗器等设备。42.31%的医院同时使用人工和自动消毒机2种清洗消毒方法。80.77%的医院使用邻苯二甲醛内镜消毒剂,30.77%使用过氧乙酸。现场采样检测结果总合格率为:胃镜86.49%,肠镜87.23%,终末漂洗用水85.29%,使用中消毒液100%。结论深圳市医院内镜洗消流程较为规范,部分医院应进一步提高洗消人员专业技能,完善清洗消毒设施设备配置,加强内镜消毒液浓度和终末漂洗用水水质监测,切实提高内镜消毒合格率,保障医疗安全。Objective To understand the current situation of cleaning and disinfection of digestive endoscope rooms in hospitals of Shenzhen.Methods By means of field investigation and field sampling and testing, the cleaning and disinfection facilities, procedures and disinfection effects of endoscopes in 26 hospitals in Shenzhen were investigated and analyzed.Results The number of endoscopes and the patients treated with endoscope examinations in high-level hospitals were higher than that in low-level hospitals, and there was no significant difference in the daily use frequency of gastroscope and enteroscope in different class hospitals.42.31% of the hospitals used manual cleaning method and automatic cleaning machine method at the same time.80.77% of hospitals used o-phthalaldehyde disinfectant for endoscopic disinfection, and 30.77% used peracetic acid.The total qualified rate of field sampling test results was as follows: gastroscope for 86.49%,enteroscope for 87.23%,terminal rinsing water for 85.29%,medical staff hand for 91.07%,and disinfectant in use for 100%.Conclusion The quantity of endoscopes in digestive endoscope rooms of hospitals in Shenzhen is reasonable, and the process of cleaning and disinfection of endoscope is standardized.In order to improve the qualified rate of endoscopic disinfection and ensure medical safety, Some hospitals should further improve the professional skills of cleaning and disinfection workers, improve the configuration of cleaning and disinfection equipment, and strengthen the monitoring of disinfectant concentration and quality of terminal rinsing water.

关 键 词：消化内镜 消毒质量 医疗机构 现状调查 

分 类 号：R187[医药卫生—流行病学]