Objective To investigate the situation of the structure and training of the endoscope reprocessing staff in gastrointestinal en-doscopy centers,strengthen the management of the endoscope repmcessing staff,and to promote the formation of the training system for the profes-sionals of gastrointestinal endoscope reprocessing in China.Methods From October 2020 to February 2022,a questionnaire survey covering structure and training of GI endoscope reprocessing staff was conducted to 744 medical institutions seleted by convenience sampling.Results A total of 726 medical institutions were included,including 460 tertiary hospitals and 266 secondary hospitals.Structure and training status of per-sonnel responsible for cleaning and disinfecting digestive endoscopes:(1)structure of dedicated personnel for cleaning and disinfection:full-time endoscope reprocessing staff accounted for 189 medical institution(26.03%),rotation nurses accounted for 193 medical institution(26.58%),nurse fixed post accounted for 195 medical institution(26.86%),rotating nurses+dedicated cleaning and disinfection personnel account for 81 medical institution(11.16%);(2)reprocessing training:474 medical institution(65.29%)of them had the unified endoscope reprocessing training standard,and 375 medical institution(51.65%)of them did not have the professional endoscope reprocessing certificate of gastrointesti-nal endoscope;(3)training for endoscopic cleaning and disinfection personnel:the highest proportion of training for endoscope reprocessing staff was organized by the hospital endoscopy center 435 medical institution(59.92%),the nurses responsible for quality control of endoscopic repro-cessing in the department provided the most training for staff(61.57%),and the most common mode of training for them was"Hand-by-hand"527 medical institution(72.59%);(4)assessment of endoscopic cleaning and disinfection personnel:536 medical institution(73.83%)of medical institutions will regularly assess the work quality of staff Conclusion The development of digestive endoscopy in China is still on the rise,and there are significant differences in the selection of cleaning agents and disinfectants,as well as the investment of related equipment,in the endoscopic reprocessing process among medical institutions.It is necessary to pay attention to the training and continuing education of full-time staff for cleaning and disinfection of gastrointestinal endoscopes,and to implement the management of them,such as personnel access system,standardized training and assessment before and after working.
关键词
消化内镜/清洗消毒/人员培训/横断面调查
Key words
Digestive Endoscopy/Cleaning and disinfection/Training/Cross-sectional survey