2023年重庆市44所公立中医医院软式内镜清洗消毒新规范执行现状调查  

Current status of implementation of new standards for cleaning and disinfection of flexible endoscopes in 44 public traditional Chinese medicine hospitals of Chongqing in 2023

作　　者：滕冬梅 李亚平 杨小军[1] 阳文琳[1] 于圣杰[1] 陈志美[1] TENG Dong-mei;LI Ya-ping;YANG Xiao-jun;YANG Wen-lin;YU Sheng-jie;CHEN Zhi-mei(The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;不详)

机构地区：[1]重庆医科大学附属第二医院感染管理科,重庆400010 [2]重庆市卫生健康委员会中医医政处,重庆401147

出　　处：《中华医院感染学杂志》2024年第18期2848-2852,共5页Chinese Journal of Nosocomiology

基　　金：2022年第二批中医药事业传承与发展中央补助资金项目(财社[2022]45号);2023年重庆市卫生健康委医学科研项目(2023WSJK027)。

摘　　要：目的了解重庆市二级及以上公立中医医院软式内镜清洗消毒新规范执行现状,为中医医疗机构医院感染管理质控中心下一步重点工作、研究方向提供理论保障和数据支持。方法以全市二级及以上公立中医院为调查对象,2023年5月-7月对其软式内镜清洗消毒现状和质量控制管理情况进行问卷调查。结果纳入44所中医医院(三级医院15所,二级医院29所),回收调查问卷44份,有效回收率100%;44所医院中,11所医院洗消人员数量不能满足工作量需求,3所医院洗消间未独立设置,6所医院仍使用直槽作为软式内镜清洗槽,38所医院的洗消人员类别为医护人员,6所医院有自动洗消机,8所医院有信息化追溯系统;20所医院使用复方含氯消毒剂,19所医院使用邻苯二甲醛作消毒剂,16所医院使用戊二醛;40所医院监测记录按规范保存,25所医院内镜使用信息均可追溯,28所医院清洁剂严格执行一镜一换。结论中医医院基本能够遵循清洗消毒规范要求。但在设施设备配置、清洗消毒执行细节上还存在一定差距,少数医院对软式内镜清洗消毒和干燥的重视不够,在使用中消毒剂浓度监测方面存在不统一的情况。中医医疗机构要对照新规范不断改进,提高医院感染预防与控制意识,进一步解决质量控制中的难点和重点问题。OBJECTIVE To understand the current status of implementation of new standards for cleaning and disinfection of flexible endoscopes in the secondary and above public traditional Chinese medicine hospitals so as to provide theoretical bases and data support for next step works in nosocomial infection management quality control centers of the hospitals as well as research orientations.METHODS The secondary and above public traditional Chinese hospitals of the city were chosen as the research subjects,and a questionnaire survey was conducted for the current status of cleaning and disinfection of the flexible endoscopes and quality control management from May 2023 to Jul 2023.RESULTS A total of 44 traditional Chinese medicine hospitals,including 15 tertiary hospitals and 29 secondary hospitals,were enrolled in the study;44 questionnaires were recycled,with the effective recovery rate 100%.Among the 44 hospitals,there were 11 hospitals in which the number of cleaning and disinfection personnels could not meet the working requirements,3 hospitals in which the cleaning and disinfection room was not set up independently,38 hospitals in which the cleaning and disinfection personnel was classified as medical staff,6 hospitals that had the automatic cleaning and disinfection machine,8 hospitals that had informatization tracking system,20 hospitals that used compound chlorine-containing disinfectants,19 hospitals that used o-phthalaldehyde as the disinfectant,16 hospitals that used glutaraldehyde,40 hospitals in which the monitoring records were stored according to standards,25 hospitals in which the use information of endoscopes could be traceable,and 28 hospitals in which the detergent was used once for one endoscope.CONCLUSION The traditional Chinese medicine hospitals can basically follow the requirements for the cleaning and disinfection standards.However,there are still certain gaps in the configuration of facilities and equipment as well as the execution details of cleaning and disinfection.A few of hospitals do not at

关 键 词：软式内镜 清洗消毒 中医医院 现状调查 问卷调查 重庆 

分 类 号：R197.39[医药卫生—卫生事业管理]