我县手术器械清洗质量现状调查分析

目的:了解我县手术后医疗器械清洗质量,分析主要影响因素,探讨提高清洗质量的有效措施。方法:按照卫生部《WS310.3-2009医院消毒供应中心第3部分:清洗消毒及灭菌效果监测标准》规定的清洗质量的检测方法,即采用目测和(或)借助带光源的放大镜检查的方法,对该县4家二级医院和10家中心卫生院清洗后待灭菌的手术器械清洗质量进行现场抽样检查。结果:4家二级医院共检测已清洗器械2089件,目测合格1567件(合格率75.01%),放大镜下目测合格1358件(合格率65.01%);10家中心卫生院共检测已清洗器械584件,目测合格235件(合格率40.24%),放大镜下目测合格205件(合格率35.10%)。结论:所查医疗机构未对医疗器械的清洗质量引起足够的重视,其清洗质量存在严重问题,各级医院管理人员应加强对医疗器械清洗质量的监督管理。

Cleaning quality of surgical instruments in our county

Objective： To explore the cleaning quality of surgical instruments in hospitals of our county. Methods： Surgical instruments from four secondary hospitals and ten health care stations were sampled to examine the cleaning quality with naked eyes and megaloscope. Results： Among 2089 surgical instruments sampled from four secondary hospitals, 1567 met naked eyes＇ standard （the pass rate was 75.01%） and 1,358 were qualified under megaloscope （the pass rate was 65.01%）. Among 584 surgical instruments sampled from ten health care stations, 235 met naked eyes＇ standard （the pass rate was 40.24%） and 205 were qualified under megaloscope （the pass rate was 35.10%）. Conclusion： There are serious problems in the cleaning quality of the surgical instruments. Managers of various grade hospitals in our county should strengthen supervision and administration.