摘要
目的分析影响消化内镜消毒灭菌效果的因素,探讨相关质量管理对策。方法 2016年1月—12月医院实施《软式内镜清洗消毒技术规范》,收集使用过的胃镜55件和肠镜59件,评估消化内镜消毒灭菌效果,并与2014年12月—2015年12月未实施管理前收集的胃镜47件和肠镜65件的消毒灭菌效果进行比较。结果实施前,消化内镜消毒灭菌不合格16例,其中因操作不规范5例(4.46%),浸泡时间不够3例(2.68%),清洗或消毒剂浓度不够2例(1.79%),清洗消毒不全面2例(1.79%),重复清洗1例(0.89%),重复消毒1例(0.89%),内镜存放不当2例(1.79%),未询问患者传染病史1例(0.89%)。实施后胃镜肠镜的消毒灭菌合格率均达100%。结论应重视消毒技术操作规范,加强强消毒灭菌操作人员的培训,提高消化内镜消毒灭菌质量。
bObjective To analyze the influence factors of disinfection and sterilization of digestive endoscopy,and to provide quality control strategies. Methods The Regulation for cleaning and disinfection technique of flexible endoscope was adopted for quality control between January,2016 and December,2016. The disinfection and sterilization effect of digestive endoscope（ 55 sets of gastroscope and 59 sets of colonoscope） was assessed and compared with that in digestive endoscope（ 47 sets of gastroscope and 65 sets of colonoscope） collected before implementation of Regulation. Results There were 16 sets of digestive endoscope unqualified to meet the standard,in which 5 sets as non-standard operation,3 sets as insufficient immersion disinfection,2 sets as concentration of disinfectant,2 sets as incomplete disinfection or sterilization,1 set as duplicated cleansing,1 set as duplicated disinfection. 2 sets as inappropriate storage,1 set as no inquiry of patients＇ infection history. The qualified rate of disinfection and sterilization was up to 100%in digestive endoscope collected after implementation of the regulation. Conclusion It is highly recommend to keep the regulation for cleaning and disinfection technique systematically and to enhance the training for staffs,in order to improve the quality control in disinfection and sterilization of digestive endoscopy.
出处
《中西医结合护理（中英文）》
2017年第9期171-173,共3页
Journal of Clinical Nursing in Practice
关键词
消化内镜
消毒
灭菌
影响因素
质量管理
digestive endoscope
disinfection
sterilization
influencing factor
quality con-trol
