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目的:探讨萧山区医疗机构内镜清洗消毒现状,并提出相应的对策。方法:萧山区疾病预防控制中心于2009年8-10月对辖区内开展内镜诊治的11家医疗机构进行了现场检查及问卷调查,并对消毒后内镜进行了采样监测。结果:81.82%的医院设置了专用洗消间,72.73%的医院由专人负责清洗消毒工作并经过了培训,90.91%的医院开展消毒剂有效浓度和消毒灭菌效果监测;三级医院内镜使用量均超负荷运行,二级医院内镜超负荷运行亦占37.5%;内镜内腔面的合格率明显低于外表面。结论:杭州市萧山区医疗机构内镜消毒管理比较规范,但在某些环节上仍存在一些问题,应加大对内镜诊室基本设施的投入,进一步规范操作规程,并加强对工作人员的培训力度。
Objective: To explore the endoscopic cleaning and disinfection of medical institutions in Xiaoshan District, and to put forward corresponding countermeasures. Methods: Xiaoshan District Center for Disease Control and Prevention conducted field inspection and questionnaire survey on 11 medical institutions that carried out endoscopic diagnosis and treatment in the area from August to October in 2009, and sampled and monitored the endoscope after disinfection. Results: 81.82% of the hospitals set up special washrooms, 72.73% of the hospitals were cleaned and disinfected by specialists and trained, 90.91% of the hospitals conducted effective disinfectant concentration monitoring and disinfection and sterilization monitoring; Volume overload operation, secondary hospital endoscopic overload operation also accounted for 37.5%; endoscopic cavity surface pass rate was significantly lower than the outer surface. Conclusion: Endoscopic disinfection management of medical institutions in Xiaoshan District of Hangzhou is relatively standardized, but there are still some problems in some aspects. We should increase investment in the basic facilities of endoscopic clinics to further standardize the operating procedures and strengthen the training of staff Strength.