贵州省三级医院内镜消毒灭菌现状调查分析

目的了解我省6家三级医院对卫生部《内镜清洗消毒技术操作规范(2004)版》的执行情况,为预防医院感染,防止医疗纠纷,确保医疗安全,加强内镜管理提供可靠依据。方法卫生厅组织于2004年10月30日至12月30日对我省厅直6家综合大医院内镜消毒灭菌质量进行现场检查和采样监测。结果 6所医院消毒级内镜及附件采样共83份,合格47份,合格率56．60％;灭菌级内镜即腹腔镜及其各种手术钳采样67份,合格64份,合格率95．50％。内镜污染细菌中大肠埃希氏菌、金黄色葡萄球菌、铜绿假单胞菌的构成比分别为18．67％、8．00％、5．33％。HIV抗体初筛试验1 例阳性。结论各医院贯彻执行卫生部《内镜清洗消毒技术操作规范(2004)版》力度不够,尤其是消毒级内镜生物学监测合格率低,存在医疗隐患,必须及时整改。

Investigation of disinfection and sterilization of endoscope in 6 level-three hospital of Guizhou

Objective To understand the quality disinfection and sterilization of endoscope in 6 hospital about carry out "Rules of desinfection and sterilization of endoscope". Methods From Dec. 6, 2004 to Dec. 15, 2004, the direct inspection and samples collected randomly to examine the quality of disinfection and sterilization of endoscope in 6 hospitals. Results The samples from Flexible endoscope and subsidiary appliance in the 6 hospitals were 83, 48 to be qualified, the qualified rates were 57. 83%. 67samples of Celioscope and OPS instrument were collected, 64 to be qualified, the qualified rates were 95. 52%. Conclusion The disinfection and sterilization management of flexible endoscope is still not up to standard, the cognition must be enhanced, the training management must be strengthened.