湖北省185所医疗机构消化内镜清洗消毒现状调查  

Survey of current status of cleaning and disinfection of digestive endoscopes in 185 medical institutions of Hubei Province

作　　者：彭威军 郭巧珍[2] 陈瑶[2] 石聪 谭莉 PENG Weijun;GUO Qiaozhen;CHEN Yao;SHI Cong;TAN Li(Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院医院感染管理科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院医院消化内镜中心,湖北武汉430030

出　　处：《中华医院感染学杂志》2025年第6期950-955,共6页Chinese Journal of Nosocomiology

基　　金：湖北省自然科学基金资助项目(2023AFB132)。

摘　　要：目的调查湖北省各级医疗机构消化内镜清洗消毒现状,为提高消化内镜清洗消毒质量明确改进方向。方法2024年3月25日-29日由华中科技大学同济医学院附属同济医院医院感染管理科组织,通过头脑风暴法、文献查阅法等方法形成调查问卷,以问卷星电子问卷形式发放,对本省各级医疗机构消化内镜中心人员及培训、设备设施、清洗消毒操作和监测与记录等情况进行问卷调查。结果最终纳入185所医疗机构,其中三级医院113所,二级及以下医院72所,三级医院在内镜数量、每日诊疗量、参加科外培训(包括继教班、进修、院级培训等)、部分设备设施配备(超声波清洗器、全管道灌流器、清洗刷、压力水枪、转运容器等)、部分清洗消毒操作(清洗酶液一镜一换和清洗刷一用一消毒等)、清洗质量监测落实及监测记录留存方式上均优于二级及以下医院(P<0.05),但在转运容器规范使用(65.49%)和气枪干燥时间(57.52%)上劣于二级及以下医院(80.56%和73.61%)(P<0.05)。结论湖北省医疗机构消化内镜清洗消毒质量仍有较大的改进空间,各级医疗机构需根据本单位的实际情况,加强对人员的监管和培训,完善设备设施配备,规范清洗消毒操作,完善各类监测及记录。OBJECTIVE To investigate the current status of cleaning and disinfection of digestive endoscopes in various grades of hospitals of Hubei Province so as to improve the quality of cleaning and disinfection of the digestive endoscopes.METHODS A survey was conducted by the hospital infection management department of Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology from Mar.25,2024 to Mar.29,2024.A questionnaire was formulated by brainstorming and literature review.The electronic questionnaire was distributed through the"Wenjuanxing"platform.The questionnaire survey aimed to investigate the personnel,training,equipment and facilities,cleaning and disinfection operations,monitoring and recording of the digestive endoscopy centers of the medical institutions in the province.RESULTS Totally 185 medical institutions were finally included,113 of which were tertiary hospitals,and 72 were secondary and lower-grade hospitals.The tertiary hospitals were superior to the secondary and lower-grade hospitals in the quantity of endoscopes,daily diagnosis and treatment volume of patients,participation in external training(including continuous training,further education,hospital-level training),provision of some facilities and equipment(ultrasonic cleaners,full pipeline perfusion devices,cleaning brushes,high-pressure water guns,transport containers),some cleaning and disinfection operations(changing the cleaning enzyme solution one time for one endoscope,disinfecting the cleaning brush one time after one-time use),implementation of surveillance of cleaning quality and preservation of surveillance records(P<0.05).However,the tertiary hospital were inferior to the secondary and lower-grade hospitals in standardized use of transferring containers(65.49%)and drying time of air guns(57.52%)(P<0.05).CONCLUSIONS The quality of cleaning and disinfection of the digestive endoscopes remains large room to be improved in the medical institutions of Hubei Province.It is necessary for the medical

关 键 词：医疗机构 消化内镜 清洗消毒 现状调查 问卷调查 

分 类 号：R187[医药卫生—流行病学]