结肠镜检查致多例急性感染性肠炎的原因分析及对策  

Analysis of the Causes and Countermeasures of Multiple Cases of Acute Infectious Enteritis Caused by Colonoscopy

作　　者：张红[1] 吴继勇 ZHANG Hong;WU Jiyong(Department of Infection Management,Tengzhou Traditional Chinese Medical Hospital,Shandong Province,Tengzhou Shandong 277500,China;Department of Clinical Laboratory,Tengzhou Traditional Chinese Medical Hospital,Shandong Province,Tengzhou Shandong 277500,China)

机构地区：[1]山东省滕州市中医医院感染管理科,山东滕州277500 [2]山东省滕州市中医医院检验科,山东滕州277500

出　　处：《中国卫生标准管理》2024年第6期172-175,共4页China Health Standard Management

摘　　要：目的分析结肠镜检查致多例急性感染性肠炎原因,并提出相关优化对策。方法回顾性分析2020年1月—2022年12月于山东省滕州市中医医院接受结肠镜检查的120例患者。统计出现急性感染性肠炎的患者数量,分析产生的原因,并提出相关改进对策。结果急性感染性肠炎发生率为6.67%(8/120);在急性感染性肠炎病原菌种类统计结果中,华纳式葡萄球菌占比为50.00%(4/8)、志贺氏菌占比为37.50%(3/8)、沙门氏菌占比为12.50%(1/8);急性感染性肠炎发生原因统计结果中,检查设备卫生不达标占比为37.50%(3/8)、检查操作不规范占比为25.00%(2/8)、检查前后卫生不到位占比为25.00%(2/8)、肠道清洁剂污染占比为12.50%(1/8)。结论在开展结肠镜检查的过程中,有导致急性感染性肠炎的发生风险,其中常见原因包括检查设备卫生不达标、检查操作不规范、检查前后卫生不到位、肠道清洁剂污染,需要加强对上述原因的改进及优化对策,以提升结肠镜检查安全性。Objective To analyze the causes of multiple cases of acute infectious enteritis caused by colonoscopy and propose relevant optimization strategies.Methods A retrospective analysis was performed on 120 patients who received colonoscopy in Tengzhou Traditional Chinese Medical Hospital,Shandong Province from January 2020 to December 2022.The number of patients with acute infectious enteritis was counted,the causes were analyzed,and the relevant countermeasures were put forward.Results The incidence of acute infectious enteritis was 6.67%(8/120).In the statistical results of the types of pathogenic bacteria in acute infectious enteritis,the proportion of Staphylococcusaureus was 50.00%(4/8),Shigella was 37.50%(3/8),and Salmonella was 12.50%(1/8).In the statistical results of the causes of acute infectious colitis,37.50%(3/8)of the patients had inadequate hygiene of the examination equipment,25.00%(2/8)of the patients had non-standard examination procedures,25.00%(2/8)of the patients had inadequate hygiene before and after the examination,and 12.50%(1/8)of the patients had contamination with intestinal cleaning agents.Conclusion During the process of colonoscopy,there is a risk of acute infectious colitis occurring,common reasons include substandard hygiene of inspection equipment,non-standard inspection operations,inadequate hygiene before and after inspection,and contamination of intestinal cleaning agents.It is necessary to strengthen the improvement and optimization measures for these reasons to enhance the safety of colonoscopy.

关 键 词：急性 感染性肠炎 结肠镜检查 消毒 细菌 质量管理 

分 类 号：R639[医药卫生—外科学]