2019-2023年天津市软式内镜再处理质量监测多因素研究  

Multi-factor study on quality monitoring of flexible endoscope reprocessing in Tianjin from 2019 to 2023

作　　者：纪学悦[1] 宋佳[1] 龙莉[2] 张楠楠[3] 路佳 窦学梅 宁培勇[1] 费春楠[1] JI Xue-yue;SONG Jia;LONG Li;ZHANG Nan-nan;LU Jia;DOU Xue-mei;NING Pei-yong;FEIChun-nan(Tianjin Center for Disease Control and Prevention,Tianjin 300011,China;Tianjin Third Central Hospital;Tianjin Tianjin Hospital;Tianjin Medical University Cancer Institute&Hospital;General Hospital of Tianjin Medical University)

机构地区：[1]天津市疾病预防控制中心,天津300011 [2]天津市第三中心医院 [3]天津市天津医院 [4]天津医科大学肿瘤医院 [5]天津医科大学总医院

出　　处：《中国消毒学杂志》2025年第2期143-145,150,共4页Chinese Journal of Disinfection

基　　金：2023年中国疾控中心公共卫生领域卫生健康标准化前期研究项目(BZ2023-Q002)。

摘　　要：目的 回顾性分析2019-2023年天津市区级疾控中心对辖区医疗机构内镜再处理质量监测结果。方法采用普查的方法调查内镜中心基本信息,在内镜中心采用随机抽样的方法抽取内镜并对内镜管腔冲洗水、终末漂洗水进行采样,检测细菌菌落总数。结果 5年各区疾控中心共采集内镜再处理后管腔冲洗水603份,总体合格率为96.85%,其细菌菌落总数平均为0(0~3)cfu/件,最高细菌菌落总数为1.4×10^(4) cfu/件。终末漂洗水采集504份,总体合格率为85.70%,其细菌菌落总数平均为0(0~7)cfu/100 mL,最高细菌菌落总数为562cfu/100 mL。多因素logistic回归分析,终末漂洗水不合格是危险因素(OR=6.280,95%CI 2.244~17.578),机器自动清洗消毒是保护性因素(OR=0.029,95%CI 0.015~0.058)。结论 内镜再处理合格率整体呈上升趋势,终末漂洗水是未来监管的重点。Objective To review and analyze the quality results of endoscope reprocessing in medical institutions monitored by District-level Center for Disease Control and Prevention in Tianjin from 2019 to 2023.Methods The basic information of endoscope center was investigated by general survey.Endoscopes were sampled by random sampling in endoscope center,and the total number of bacterial colonies was detected by sampling of endoscope lumen rinse water and final rinse water.Results A total of 603 reprocessed endoscope were sampled from each district CDC in 5 years,and the overall qualified rate was 96.85%.The average total number of bacterial colonies was 0(0-3)cfu/channel,and the highest total number of bacterial colonies was 1.4×10^(4) cfu/channel.504 samples of final rinse water were collected,and the overall qualified rate was 85.70%.The average total number of bacterial colonies was 0(0-7)cfu/100 mL,and the highest total number of bacterial colonies was 562 cfu/100 mL.Multivariate logistic analysis showed that unqualified final rinse water was a risk factor(OR=6.280,95%CI 2.244-17.578),and automatic reprocesser was a protective factor(OR=0.029,95%CI 0.015-0.058).Conclusion The qualified rate of endoscope reprocessing is on the rise,and the final rinse water is the focus of future supervision.

关 键 词：软式内镜 再处理 监测 终末漂洗水 

分 类 号：R187[医药卫生—流行病学]