实施标准化复用器械预处理流程对口腔科医疗器械清洗效果研究  

Study on the Cleaning Effect of Stomatology Medical Instruments by Implementing Stan⁃dardized Reusable Instrument Pretreatment Process

作　　者：郭竹英 蒋东贤 李芸[1] 张爱芳[1] GUO Zhuying;JIANG Dongxian;LI Yun;ZHANG Aifang(Infection Management Department,Shenzhen Traditional Chinese Medicine Hospital,Shenzhen,Guangdong,518000)

机构地区：[1]深圳市中医院院感管理科,广东深圳518000

出　　处：《江苏卫生事业管理》2024年第3期383-386,共4页Jiangsu Health System Management

摘　　要：目的:制定并实施标准化口腔科复用器械预处理流程,降低工作人员锐器伤职业暴露风险,并提高清洗效果,保证消毒灭菌的质量。方法:于2023年4月将某三甲医院口腔科诊疗活动使用后的108件复用器械集中送至消毒供应中心,随机分成常规手工清洗组、常规全自动清洗机组和按标准化预处理流程联合全自动清洗机组,每组各36件。采用ATP生物荧光法检测清洗效果。结果:ATP生物荧光法检测手工清洗组、全自动清洗机组、标准化预处理流程联合全自动清洗机组合格率分别为83.3%(30/36),61.1%(22/36),100%(36/36)。三组RLU值分别为7.22±21.32、37.61±94.06、0±0。标准化预处理流程联合全自动清洗机组清洗合格率明显高于常规手工清洗组及全自动清洗机组,差异具有统计学意义(χ^(2)为18.732,P<0.01)。结论:标准化预处理流程后全自动清洗机清洗可提高口腔科器械清洗效果,为医院医疗复用器械标准化预处理流程提供依据。Objective:To develop and implement the standardized pretreatment process of dental reuse,reduce the risk of sharp in-jury,improve the cleaning effect,and ensure the quality of disinfection and sterilization.Methods:In April 2023,108 pieces of reuse devices used in the diagnosis and treatment department of stomatology of a certain grade A tertiary hospital were sent to the disinfection supply center,randomly divided into conventional manual cleaning group,conventional automatic cleaning unit and combined automat-ic cleaning unit according to the standardized pretreatment process,with 36 pieces for each group.Washing effect was detected by ATP biofluorescence.Results:The qualified rate of ATP biofluocence detection manual cleaning group,automatic cleaning unit,standard-ized pretreatment process and automatic cleaning unit are respectively 83.3%(30/36),61.1%(22/36),100%(36/36)。The RLU val-ues in the three groups were 7.22±21.32,37.61±94.06,and 0±0,respectively.The cleaning qualified rate of the automatic cleaning unit is significantly higher than that of the conventional manual cleaning group and the automatic cleaning unit,(χ^(2)∶18.732 P<0.01),with statistical significance.Conclusion:The automatic cleaning machine after the standardized pretreatment process can improve the cleaning effect and provide a basis for the standardized pretreatment process of medical reuse devices in the hospital.

关 键 词：标准化 口腔科器械 清洗 预处理 效果评价 

分 类 号：R197.39[医药卫生—卫生事业管理]