Current status of disinfection of ventilator pipelines in secondary and above medical institutions in Shanxi Province in 2023:a questionnaire survey
OBJECTIVE To investigate the current status of disinfection of ventilator pipelines in secondary and a-bove medical institutions in Shanxi Province so as to provide bases for further standardizing the management,cleaning and disinfection of ventilators.METHODS The questionnaires were designed through the'Questionnaire Star'platform.The basic information of use and management of invasive ventilators,disinfection of internal and external loops and accessories as well as the monitoring of disinfection effect were investigated in Jul 2023.RESULTS Among 161 secondary and above medical institutions,14 adopted the centralized management of ventila-tors,138 adopted self-management by department,and the rest of 9 adopted the centralized management com-bined with self-management by department.Among the tertiary medical institutions,46.67％(21/45)carried out the disinfection of internal loops of ventilators;24.14％(28/116)carried out the disinfection of internal loops a-mong the secondary medical institutions,the medical institutions varied in the frequency of disinfection of the in-ternal loops of ventilators,and the medical institutions that carried out the disinfection of the internal loops with alcohol compounds preparations were dominant.In terms of the disinfection of external surface,all of the medical institutions carried out the cleaning and disinfection of the external surfaces but varied in the type of disinfectant.For the external pipelines,39.75％of the medical institutions used the disposable pipelines,and the rest of the medical institutions used reusable pipelines.43.30％of the medical institutions used chlorine-containing disinfect-ant for soak,27.84％used cleaning and disinfection machine,and the rest of the medical institutions used steriliza-tion.The medical institutions where the infection control professionals were the personnel of disinfection surveillance ac-counted for 35.56％among the tertiary medical institutions,followed by the part-time infection control personnel(31.11％).The medical institutions where the nurses were the personnel of disinfection surveillance accounted for 58.62％among the secondary medical institutions,followed by the infection control professionals(25.00％).The medi-cal institutions varied in the cycle of surveillance.CONCLUSION The survey shows that the medical institutions are une-ven in the management of invasive ventilators,daily maintenance and execution of disinfection of accessories,and there are no unified standards or management requirement.It is urgent to enact unified technical standard specifications for use and management of ventilators so as to reduce the incidence of ventilator-associated pneumonia(VAP).
Medical institutionsVentilatorDisinfection and sterilizationCurrent status surveyShanxi Province
万方数据
维普
