Survey of 69 medical institutions on cleaning and sterilization of flexible endoscopes in Anhui Province
Objective To understand the cleaning and disinfection of flexible endoscopes in endoscopy diagnostic and treat-ment centers of medical institutions in Anhui Province,and to analyze their existing problems.Methods Ninety-eight questionaires were distributed using the convenience sampling method,sampling medical institutions in Anhui Province that carried out endoscopic diagnosis and treatment.Questionnaires were designed for the survey based on the WS 507-2016 Regulation for cleaning and disinfection technigue of flexible endoscopes and the clinical practice.Results A total of 69 val-id questionnaires were collected,including 320 nursing staff,the average daily diagnosis and treatment number was mostly 0-30 cases(72.46%).Rooms of the endoscopy diagnosis and treatment center were all independent.The cleaning and sterili-zation room was mainly naturally ventilated(63.77%).The cleaning and sterilization equipment was equipped with more than 80%,except for the touchless faucet(68.12%).The personal protective equipment was relatively complete.The rate of leakage testing before each cleaning was 60.87%,and the completion rate of leakage testing once a day was 100%.The cleaning and sterilization methods were mainly manual and automatic(60.87%),the main types of disinfectants used was ortho-phthalaldehyde(65.22%),and the water used for cleaning was mainly purified water(82.62%).During the cleaning and disinfection process,a few institutions still failed to replace the decontamination items as required.More than 90%of medical institutions can complete monitoring and recording as required.Conclusion Cleaning and disinfecting in 69 healthcare facilities is generally in line with the norms,and it is necessary to increase investment in facilities and equipment configuration of endoscopy diagnostic and treatment centers,reasonably allocate personnel,strengthen the monitoring of the cleaning and disinfection process,and continuously improve the cleaning and disinfection process and improve the quality of cleaning and disinfection.
Cleaning and sterilizationFlexible endoscopyHealthcare facilitiesSurvey research