Objective To understand the cleaning and disinfection of flexible endoscopes in endoscopy diagnostic and treatment centers of medical institutions in Anhui Province,and to analyze their existing problems. Methods Ninety-eight questionaires were distributed using the convenience sampling method,sampling medical institutions in Anhui Province that carried out endoscopic diagnosis and treatment.Questionnaires were designed for the survey based on the WS 507-2016 Regulation for cleaning and disinfection technigue of flexible endoscopes and the clinical practice. Results A total of 69 valid questionnaires were collected,including 320 nursing staff,the average daily diagnosis and treatment number was mostly 0-30 cases (72.46%).Rooms of the endoscopy diagnosis and treatment center were all independent.The cleaning and sterilization room was mainly naturally ventilated (63.77%).The cleaning and sterilization equipment was equipped with more than 80%,except for the touchless faucet (68.12%).The personal protective equipment was relatively complete.The rate of leakage testing before each cleaning was 60.87%,and the completion rate of leakage testing once a day was 100%.The cleaning and sterilization methods were mainly manual and automatic (60.87%),the main types of disinfectants used was ortho-phthalaldehyde (65.22%),and the water used for cleaning was mainly purified water (82.62%).During the cleaning and disinfection process,a few institutions still failed to replace the decontamination items as required.More than 90% of medical institutions can complete monitoring and recording as required. Conclusion Cleaning and disinfecting in 69 healthcare facilities is generally in line with the norms,and it is necessary to increase investment in facilities and equipment configuration of endoscopy diagnostic and treatment centers,reasonably allocate personnel,strengthen the monitoring of the cleaning and disinfection process,and continuously improve the cleaning and disinfection process and improve the quality of cleaning and disinfection.
Key words
Cleaning and sterilization /
Flexible endoscopy /
Healthcare facilities /
Survey research
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 崔燕华,李敬,解晓悦,等.北京市42所三级医院软式内镜清洗消毒状况调查研究[J].中国医药导报,2023,20(9):58-61+66.
[2] 马久红,李贤煌,张云,等.不同通风方式对消化内镜清洗消毒室气溶胶净化效果的研究[J].中国感染控制杂志,2022,21(7):623-630.
[3] 黄星,李相林,商建,等.全自动软式内镜清洗消毒机和手工清洗在消化内镜清洗消毒中的对比研究[J].现代消化及介入诊疗,2022,27(5):576-579.
[4] 石雪平,李雯,谢甜芳,等.江苏省106所医疗机构消化内镜清洗质量问卷调查[J].中华医院感染学杂志,2021,31(21):3356-3360.
[5] 朱彩霞,李桂明,劳婉仪.内镜清洗用水的质量控制与管理[J].医疗装备,2021,34(18):47-49.
[6] 孔懿,刘婷,黄英,等.南京市15所基层医疗机构软式内镜清洗消毒现状调研[J].江苏卫生事业管理,2021,32(4):460-465.
[7] 金慧,王慧敏,沈林海,等.杭州市医疗机构消化内镜清洗消毒现况及影响因素分析[J].中国消毒学杂志,2021,38(3):214-217.
[8] 孔懿,黄英,张亚英,等.南京市10家中医院的软式内镜清洗消毒现状调查[J].中国消毒学杂志,2020,37(12):934-937.
[9] 陈芳,杨广岚,吴磊,等.安徽省直医疗机构2008年内镜消毒灭菌效果监测报告[J].安徽预防医学杂志,2011,17(1):56-57.
[10] 凌琳,胡成文,胡敏.某省120所医疗机构内镜清洗消毒现状问卷调查结果分析[J].中国感染控制杂志,2020,19(4):353-359.
[11] 马苏,席惠君,傅增军,等.《WS 507—2016软式内镜清洗消毒技术规范》执行情况调查[J].中华医院感染学杂志,2019,29(21):3339-3344.
[12] 张旭,刘远,赵正阳,等.广州市部分医疗机构内镜清洗消毒管理现状调查[J].中国消毒学杂志,2019,36(3):229-230.
[13] 刘运喜,邢玉斌,巩玉秀.软式内镜清洗消毒技术规范 WS 507—2016[J].中国感染控制杂志,2017,16(6):587-592.
[14] 毛艳芳.内镜清洗消毒与职业防护[J].世界最新医学信息文摘,2016,16(66):238+243.
[15] Wiktorczyk N,Kwiecińska-Piróg J,Skowron K,et al.Assessment of endoscope cleaning and disinfection efficacy,and the impact of endoscope storage on the microbiological safety level[J].J Appl Microbiol,2020,128(5):1503-1513.
[16] 贾琳,管癸芬,黄伊人.内镜全程追溯系统在内镜清洗消毒质量管理中的应用效果[J].现代养生,2023,23(22):1751-1755.
PDF(793 KB)
