全国3077家医院消毒供应中心现状调查及分析  

Investigation and analysis of current status of central sterile supply department from 3077 hospitals in China

作　　者：康洁[1] 张青[2] 李保华[3] 赵晓燕 乔赛男 郑美琪 KANG Jie;ZHANG Qing;LI Bao-hua;ZHAO Xiao-yan;QIAO Sai-nan;ZHENG Mei-qi(Key laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Peking University Cancer Hospital&Institute,Beijing 100142,China;Peking Union Medical College Hospital;Beijing Chao-yang Hospital Capital medical university;Chinese Nursing Association;Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142 [2]中国医学科学院北京协和医院 [3]首都医科大学附属北京朝阳医院 [4]中华护理学会 [5]清华大学附属北京清华长庚医院、清华大学临床医学院

出　　处：《中国消毒学杂志》2025年第2期100-104,共5页Chinese Journal of Disinfection

基　　金：中央高水平医院临床科研基金资助项目(2022-PUMCH-B-031)。

摘　　要：目的 调查我国消毒供应中心(CSSD)在集中管理模式、面积、人力资源、设备配置等方面的现状。方法采用自行设计的调查问卷,由中华护理学会消毒供应中心专业委员会于2023年9月11-13日对31个省(自治区、直辖市)的3 080家医院进行调查。结果 发放问卷3 080份,回收有效问卷3 077份,有效回收率为99.90%。其中,79.62%的CSSD由护理部主管;集中化管理总体占91.19%,三级医院集中率明显高于二级医院,三级甲等医院、三级乙等医院与二级医院和其他医院比有统计学差异(P<0.001);CSSD面积床位比平均为0.78;每百张病床平均工作人员数为2.27;护理人员占全部工作人员的74.17%,其中14.83%为专科护士;三级甲等医院月平均灭菌包数量及工作人员数量最多,月均灭菌包为23 521包,45名工作人员;压力蒸汽灭菌器平均每所医院有2.76台,低温过氧化氢(等离子体)灭菌器平均为1.66台,自动单舱清洗消毒器平均2.34台,内镜清洗消毒机平均0.52台。结论 CSSD在集中管理模式、面积、人力资源、设备配置等方面有不同程度的提高,CSSD建筑面积、人员配置应根据工作量科学合理配备。Objective To investigate and analyze current situation of central sterile supply department(CSSD).Methods A self designed questionnaire was used in this study.The general information,the number of operation,CSSD area、management model、equipment、human resources in CSSD of 3080 hospitals in 31 provinces(autonomous regions and municipalities)in China were investigated in September 2023.Results A total of 3080 questionnaires were collected and 3077 were valid,and the recovery rate was 99.90%.79.62%of CSSD was managed by nursing department,and centralized management ratio was 91.19%.Grade III hospital was higher than Grade II hospital,and there were statistical significance between Grade III level A/B hospitals and Grade II/other hospital(P<0.001).Average ratio of CSSD area to bed was 0.78,and average staff total number was 2.27 per 100 beds,while nurses was 74.17%and specialty nurses was 14.83%.The Class III level A hospital has the highest monthly average number of sterilization packs and staff,with 23521 sterilization packs and 45 staff members,and steam sterilizer was 2.76 every hospital,low temperature hydrogen peroxide sterilizer which increased rapidly was 1.66,automatic washer-disinfector was 2.34,however,automatic endoscope re-processor was 0.52.Conclusion The management model,area,equipment,human resources of CSSD has improved in different extent,but area,human resource of CSSD did not meet the rapid increasing needs.

关 键 词：消毒供应中心 人力资源 集中管理 调查 

分 类 号：R184[医药卫生—流行病学]