信息化追溯管理系统在胃肠镜清洗消毒管理中的应用  

Effectiveness of information traceability system on management of cleaning and disinfection of gastrointestinal endoscopes

作　　者：陈小华[1] 张心怡 何维维 方晓玲 康信任 夏韶华 Chen Xiaohua;Zhang Xinyi;He Weiwei;Fang Xiaoling;Kang Xinren;Xia Shaohua(The Eighth Affiliated Hospital,Sun Yat-sen University,Shenzhen 518033,Guangdong Province,China)

机构地区：[1]中山大学附属第八医院,广东深圳518033

出　　处：《现代临床护理》2024年第10期72-76,共5页Modern Clinical Nursing

摘　　要：目的评价信息化追溯管理系统在胃肠镜清洗消毒管理中的应用效果,为提高胃肠镜清洗消毒质量管理提供科学的依据。方法选取本院胃肠镜中心2022年10月至2023年9月使用过污染的胃肠镜,其中2022年10月至2023年3月未实施信息化追溯管理的胃肠镜(包括肠镜52条和胃镜55条)作为对照组,2023年4月至9月实施信息化追溯管理的胃肠镜(包括肠镜42条和胃镜60条)作为试验组,对比分析两组胃肠镜三磷酸腺苷(adenosine triphosphate,ATP)生物荧光法检测合格率、微生物培养法检测合格率和清洗消毒时间。结果试验组ATP生物荧光法检测合格率和微生物培养法检测合格率均高于对照组,试验组清洗消毒时间短于对照组,两组比较,均P<0.05,差异具有统计学意义。结论信息化追溯管理系统应用于胃肠镜清洗消毒管理中,可有效提高清洗消毒质量和工作效率。Objective To evaluate the effectiveness of an information traceability management system in the management of cleaning and disinfection of gastrointestinal endoscopes hence to provide a scientific basis for improving the quality in cleaning and disinfection of the endoscopes.Methods Both of the gastrointestinal endoscopes used in the gastrointestinal endoscopy centre in our hospital between October 2022 and September 2023 were included in this study.The endoscopes were divided into two groups:the 55 gastroscopes and 52 enteroscopes which were cleaned and disinfected with a regular method after use between October 2022 and March 2023 were assigned as a control group.While the 60 gastroscopes and 42 enteroscopes which were cleaned and disinfected with the information traceability management method after use between April 2023 and September 2023 were assigned in a trial group.The two groups were compared with the pass rate of adenosine triphosphate(ATP)bioluminescence test and microbial culture test,as well as the time for cleaning and disinfection.Results The gastrointestinal endoscopes in the trial group showed a significantly higher pass rates with the adenosine triphosphate(ATP)bioluminescence test and microbial culture test,and took significantly shorter time for cleaning and disinfection(all P<0.05).Conclusion The information traceability management system can significantly improve the effectiveness in cleaning and disinfection of the gastrointestinal endoscopes and improve the quality of cleaning and disinfection.

关 键 词：信息化追溯管理系统 胃镜 肠镜 清洗 消毒 质量 

分 类 号：R47[医药卫生—护理学]