消毒供应中心医疗器械清洗效果及其影响因素  

Cleaning effect and influencing factors of medical equipment in the central sterile supply department

作　　者：保淳 严行[1] 田璐 BAO Chun;YAN Xing;TIAN Lu(Disinfection Supply Center,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing,100730,China)

机构地区：[1]首都医科大学附属北京同仁医院消毒供应中心,北京100730

出　　处：《中国医药导报》2021年第33期76-79,共4页China Medical Herald

摘　　要：目的观察消毒供应中心(CSSD)医疗器械清洗效果,并分析清洗不合格的影响因素。方法前瞻性抽样选取2017年1月至2019年12月首都医科大学附属北京同仁医院CSSD回收的182件医疗器械,经清洗后,评估所有医疗器械的清洗效果,并根据清洗效果分为合格组与不合格组。设计基线资料调查表,分析CSSD医疗器械清洗不合格的影响因素。结果182件医疗器械清洗不合格的有10件,不合格率为5.49%,作为不合格组;合格172件,合格率为94.51%,作为合格组。两组日均使用频率、器械类型、污染程度、污染器械放置时间、工作人员相关知识缺乏、预处理不佳比较,差异有统计学意义(P<0.05)。经logistic回归分析结果显示,日均使用频率高(OR=11.020)、精细类器械(OR=15.012)、重度污染(OR=31.652)、污染器械放置时间长(OR=4.921)、工作人员相关知识缺乏(OR=41.886)、预处理不佳(OR=15.657)是CSSD医疗器械清洗不合格的影响因素(P<0.05)。结论CSSD医疗器械清洗不合格率较高,可能与器械的日均使用频率高、精细类器械、重度污染、污染器械放置时间长、工作人员相关知识缺乏、预处理不佳等有关。Objective To observe the cleaning effect of the central sterile supply department(CSSD)medical equipment,and to analyze the influencing factors of the unqualified cleaning.Methods A prospective sample selected 182 medical devices recovered by CSSD from Beijing Tongren Hospital Affiliated to Capital Medical University from January 2017 to December 2019.After cleaning,the cleaning effect of all medical devices and they were divided into qualified and unqualified groups according to the evaluation of cleaning effect.The baseline data questionnaire was designed,the influencing factors of CSSD medical device cleaning failure was analyzed.Results Ten of the 182 medical devices failed to be cleaned,with a failure rate of 5.49%,were regarded as the unqualified group;172 medical devices were qualified,with a pass rate of 94.51%,which was regarded as the qualified group.There were statistically significant differences in the average daily frequency of use,equipment type,pollution degree,contaminated equipment placement time,lack of relevant knowledge of staff,and poor pretreatment of two groups(P<0.05).The logistic regression analysis showed that the average daily frequency of use(OR=11.020),fine equipment(OR=15.012),heavy pollution(OR=31.652),long placement time of contaminated equipment(OR=4.921),and the lack of relevant knowledge of staff(OR=41.886)and poor pretreatment(OR=15.657)were the influencing factors of CSSD medical device cleaning failure(P<0.05).Conclusion The rate of non-compliance of cleaning of medical devices in CSSD is higher,which may be related to the high daily use frequency of the equipment,fine equipment,heavy pollution,long placement time of contaminated equipment,lack of relevant knowledge of staff and poor pretreatment.

关 键 词：消毒供应中心 医疗器械 清洗 影响因素 

分 类 号：R187[医药卫生—流行病学]