首页|2021-2022年西部地区4所医院消化道内镜病毒污染情况调查

2021-2022年西部地区4所医院消化道内镜病毒污染情况调查

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目的 研究2021-2022年西部地区4所医院消化道内镜病毒污染情况.方法 选取2021年1月-2022年12月西部地区4所医院的2 005例消化道内镜手术患者为研究对象,其中解放军陆军特色医学中心(A院)有511例、重庆市九龙坡西区医院(B院)有508例、四川省凉山彝族自治州西昌市解放军63790部队医院(C院)有468例、重庆市第十三人民医院(D院)有518例,研究4所医院患者消化道内镜病毒污染调查情况.分析4所医院调查对象基础信息、细菌污染情况、病毒污染情况、内镜消毒措施不达标情况.结果 4所医院调查对象基础信息、细菌污染情况、内镜消毒措施不达标情况比较,无统计学差异;轮状病毒、诺如病毒、腺病毒,病毒污染情况比较,无统计学差异,但其他病毒比较,差异有统计学意义(P<0.05).结论 消化道内镜病毒污染在不同医院可能有不同的发生率,需从内镜消毒时间、室内空气消毒、手卫生消毒、内镜消毒步骤规范、储存操作等方面完善内镜感控措施,避免病毒污染风险的发生.
Viral contamination of gastrointestinal endoscopes in 4 hospitals of western region from 2021 to 2022
OBJECTIVE To investigate the viral contamination of gastrointestinal endoscopes in 4 hospitals of west-ern region from 2021 to 2022.METHODS Totally 2 005 patients who underwent gastrointestinal endoscopy in the 4 hospitals of western region from Jan 2021 to Dec 2022 were recruited as the research subjects,511 of whom were from Chinese People's Liberation Army Special Medical Center(the hospital A),508 were from Chongqing Western Hospital(the hospital B),468 were from Chinese PLA 63790 Military Hospital(the hospital C),and 518 were from the Thirteenth People's Hospital of Chongqing(the hospital D).The status of viral contamination of gastrointestinal endoscopes was observed and compared among the 4 hospitals.The baseline information of the subjects,status of bacterial contamination,status of viral contamination and unqualified disinfection of endoscopes were observed and compared among the 4 hospitals.RESULTS There were no significant differences in the baseline information of the subjects,status of bacterial contamination and unqualified disinfection of endoscopes among the 4 hospitals;there were no significant differences in the rotavirus,norovirus,adenovirus and viral contamination,but there were significant differences in other viruses(P<0.05).CONCLUSION The incidence of viral contamina-tion of gastrointestinal endoscopes vary in different hospitals.It is necessary to complete the measures of control of endoscope-induced infection from the disinfection time of endoscopes,disinfection of indoor air,hand hygiene dis-infection,disinfection procedures and storage operation so as to avoid the risk of viral infection.

Western regionGastrointestinal endoscopeViral contaminationInfection control measureRotavir-usDisinfection standards

李佼、樊丽琳、唐亮、孙文静、曹艳

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中国人民解放军陆军特色医学中心消化内科,重庆 400042

西部地区 消化道内镜 病毒污染 感控举措 轮状病毒 消毒操作规范

重庆市科卫联合面上基金资助项目

2021MSXM343

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(14)
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