运用压力蒸汽灭菌法灭菌骨科手术器械2232例报道

目的:运用压力蒸汽灭菌法灭菌,确保骨科手术器械灭菌质量,加强医院供应室灭菌质量管理,预防医院感染的发生。方法:采用回顾性分析方法对2 232件骨科手术器械进行物理、化学、生物监测,严格控制发放标准。结果:2 232件骨科手术器械,经物理监测、化学监测、快速生物监测均合格,但2件出现棉包布有破洞,2件出现无纺布高温炼成破洞,5件出现湿包,3件出现清洗质量不合格。结论:骨科手术器械大多为植入物,系为高度危险性物品,必须严格把握灭菌质量,细化过程管理,保证患者安全。

2232 case reports of pressure steam sterilization for orthopedic surgical instruments

Objective： To use pressure steam sterilization in order to ensure the quality of orthopedic surgical instruments sterilization,strengthen quality management of hospital supply room sterilization and prevent the occurrence of hospital infections. Methods： 2232 pieces of orthopedic surgical instruments were monitored physically,chemically and biologically by applying pressure steam sterilization,and the provision standard was controlled strictly. Results： 2232 pieces of orthopedic surgical instruments were qualified through the physical,chemical and rapid biological monitoring,however,the cotton cloth of 2 pieces had holes,non- woven fabric of2 pieces had be heated into holes,5 pieces had wet bags,and the cleaning quality of 3 pieces was not qualified. Conclusions： Most orthopedic surgical instruments are implantable,as well as highly dangerous goods. Therefore,it must strictly grasp the quality of sterilization and refine process management so as to ensure the safety of patients.