Centralized Management and Effectiveness Evaluation of Bronchoscopy Cleaning in Full Lifecycle Mode
Objective To explore the application effect of centralized management in improving the quality of bronchoscopy cleaning under the full life cycle mode.Methods The method taked centralized management intervention under the full life cycle mode implemented by the disinfection supply center on November 2022 as the dividing line.A total of 62 sets of bronchoscopes that underwent routine cleaning methods from May to October 2022 were included in the routine group,and 62 sets of bronchoscopes that underwent centralized cleaning management from November 2022 to March 2023 were included in the intervention group.The qualified rate of bronchoscopy cleaning in two groups(using visual inspection and residual blood occult blood test to detect the degree of cleanliness)and the qualified rate of protein residue,and compare the disinfection quality of the two groups before and after cleaning[using ATP biofluorescence detection to detect residual bacterial relative light unit(RLU)value,and microbial culture method to detect the total number of bacterial colonies]were observed.Results The qualified rate of visual evaluation in the intervention group was 95.16%,which was higher than 83.87%in the conventional group(P<0.05).The qualified rate of residual blood occult blood test in the intervention group was 90.32%,which was higher than 75.81%in the conventional group(P<0.05).The qualified rate of residual intervention histone was 77.42%,higher than the 59.68%of the conventional group(P<0.05).After cleaning,the RLU value and total bacterial count in both groups significantly decreased(P<0.05),and the intervention group was lower than the control group(P<0.05).Conclusion Centralized management is carried out by the disinfection supply center in the full life cycle mode,effectively ensuring the application effect in bronchoscopy cleaning,disinfection,dry storage,and maintenance throughout the entire life cycle,improving protein residue,achieving significant disinfection and sterilization effects,and effectively ensuring medical safety.
full life cycle modebronchoscopycentralized managementcleaningprotein residuedisinfection and sterilization