中国当代医药2024,Vol.31Issue(26) :132-136.

消毒供应中心集中管理在软式内镜清洗消毒中的应用效果

Application effect of centralized management of disinfection supply center in cleaning and disinfection of flexible endoscopes

楼丽琼 黎云霞
中国当代医药2024,Vol.31Issue(26) :132-136.

消毒供应中心集中管理在软式内镜清洗消毒中的应用效果

Application effect of centralized management of disinfection supply center in cleaning and disinfection of flexible endoscopes

楼丽琼 1黎云霞1
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作者信息

  • 1. 江西省人民医院(南昌医学院第一附属医院)消毒供应中心,江西南昌 330006
  • 折叠

摘要

目的 探讨消毒供应中心集中管理在软式内镜清洗消毒中的应用效果.方法 选取2023年1月至12月江西省人民医院手术室使用后的200件软式内镜作为研究对象进行回顾性分析,按照不同的操作流程将其分为观察组(100件)与对照组(100件).观察组使用后送至消毒供应中心集中处理,采用内镜洗消机在内镜清洗工作站接收与测漏、清洗消毒、干燥,检查保养与包装、灭菌、储存发放.对照组使用后由手术室自行接收,并测漏、清洗消毒、干燥、检查与包装、灭菌、使用.采用目测法联合内镜可视检测系统检测法、三磷酸腺苷(ATP)生物荧光快速检测法进行清洗消毒质量检测,计算并比较两组的返洗率;检查两组软式内镜功能完好情况,计算并比较两组的功能完好率.结果 观察组采用目测法联合内镜可视检查系统检测法的返洗率低于对照组,差异有统计学意义(P<0.05);观察组采用ATP生物荧光快速检测法的返洗率低于对照组,差异有统计学意义(P<0.05);观察组的功能完好率高于对照组,差异有统计学意义(P<0.05).结论 软式内镜由消毒供应中心集中管理清洗消毒,提高了软式内镜清洗消毒质量,保证软式内镜较高的功能完好状态,保障患者就医安全,值得推广.

Abstract

Objective To investigate the application effect of centralized management of disinfection supply center in cleaning and disinfection of flexible endoscope.Methods A total of 200 pieces of flexible endoscopes used in the Operating Room of Jiangxi Provincial People's Hospital from January to December 2023 were selected as study objects and retrospec-tively analyzed,and they were divided into observation group(100 pieces)and control group(100 pieces)according to dif-ferent operation procedures.The observation group was sent to the disinfection supply center for centralized treatment after use,and the endoscopic decontamination machine was used to receive and measure leakage,clean and disinfect,dry,check and maintain,pack,sterilize,store and distribute at the endoscopic cleaning workstation.The control group was received by the operating room itself after use,and leakage detection,cleaning and disinfection,drying,inspection and packaging,steril-ization,and use.Visual inspection combined with endoscopic visual detection system and adenosine triphosphate(ATP)bio-luminescence rapid detection method were used to detect the cleaning and disinfection quality,and the return washing rate of unqualified cleaning and disinfection quality was calculated and compared.The functional integrity of the two groups of flexible endoscopes was examined,and the functional integrity rate was calculated and compared.Results The return wash-ing rate of the observation group using visual inspection method combined with endoscopic visual inspection system detec-tion method was lower than that of the control group,and the difference was statistically significant(P<0.05).The return washing rate of ATP bioluminescence rapid detection in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The functional integrity rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The cleaning and disinfection of flexible endoscopes are managed centrally by the disinfection and supply center,which improves the cleaning and disin-fection quality of flexible endoscopes,ensures the high functional integrity of flexible endoscopes,and ensures the safety of patients.It is worthy of promotion.

关键词

集中管理/软式内镜/内镜可视检测系统/清洗消毒/应用效果

Key words

Centralized management/Flexible endo-scope/Endoscopic visual detection system/Cleaning and disinfection/Application effect

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基金项目

江西省卫生健康委科技计划项目(202310179)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
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