管腔可视化检测系统评估外来管腔型手术器械的清洗效果研究  

Evaluation of cleaning effect of loaner luminal surgical instruments by endoscopic lumen visual inspection system

作　　者：周泓[1] 史庆丰 高晓东 王朱呈 刘轩亨 ZHOU Hong;SHI Qing-feng;GAO Xiao-dong;WANG Zhu-cheng;LIU Xuan-heng(Central Sterile Supply Department, Zhongshan Hospital, Fudan University, Shanghai 200032, China;Department of Infection Management, Zhongshan Hospital, Fudan University, Shanghai 200032, China;Shanghai Xuhui High School, Shanghai 200030, China;Shanghai Xingzhi High School, Shanghai 201900, China)

机构地区：[1]复旦大学附属中山医院消毒供应中心,上海200032 [2]复旦大学附属中山医院感染管理科,上海200032 [3]上海市徐汇中学,上海200030 [4]上海市行知中学,上海201900

出　　处：《中国感染控制杂志》2022年第7期656-660,共5页Chinese Journal of Infection Control

摘　　要：目的分析医院外来管腔型脊柱手术器械清洗的难点,为改进和完善清洗质量控制体系提供依据。方法选取某院外来脊柱手术器械中的管腔型器械291件,采用腔镜通道检查系统,检查器械在接收时和手工清洗后其管腔内清洗质量,并进行统计分析。结果接收时管腔器械污染物污染率为89.69%,清洗后污染物污染率为59.45%,主要污染物为组织、污渍、锈渍。带有盲端的器械比两端开口的器械更难清洗,两者组织和污渍的清除率比较,差异均有统计学意义(均P<0.05)。结论外来管腔型脊柱手术器械较难清洗,应优化清洗流程,并将管腔内表面清洗质量纳入考核体系。Objective To analyze the difficulties in the cleaning of loaner luminal spinal surgical instruments,and provide basis for improving and perfecting the cleaning quality control system.Methods 291 loaner luminal spinal instruments in a hospital were selected,and the endoscopic lumen inspection system was used to check the cleaning quality of lumen of instruments when they were received and after manual cleaning,statistical analysis was performed.Results The contamination rates of contaminants were 89.69%and 59.45%at receiving time and after cleaning of luminal instruments,the main contaminants were tissue,stain and rust.Instruments with blind ends were more difficult to be cleaned than those with openings at both ends,there were significant differences in tissue and stain removal rates between two groups(both P<0.05).Conclusion It is difficult to clean the loaner luminal spinal surgical instruments,so the cleaning process should be optimized and cleaning quality of inner surface of lumen should be included in the assessment system.

关 键 词：外来手术器械 管腔型器械 清洗 可视化检测 腔镜通道检查系统 医院感染 

分 类 号：R187[医药卫生—流行病学]