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目的了解医疗机构消化内镜消毒现状,为加强消化内镜消毒管理提供对策。方法通过现场调查和现场采样检测方法,对上海市某区开展消化内镜诊疗的医疗机构内镜消毒效果进行监测,并对内镜消毒管理现状进行调查分析。结果各医疗机构对消化内镜诊疗工作都很重视,使用中消毒剂有效浓度、医务人员手卫生、环境物体表面消毒均合格,但存在肠镜内表面消毒不合格、内镜消毒过程中器械不完全浸泡、多酶洗液重复使用等问题。结论该区医疗机构消化内镜消毒现状良好,但要加强对肠镜消毒灭菌工作的管理,更要注重日常消毒中的细节。
Objective To understand the status quo of digestive endoscopy disinfection in medical institutions and provide measures to strengthen the digestive endoscopy disinfection management. Methods By means of field investigation and on-site sampling and testing methods, the endoscopic disinfection efficacy of digestive endoscopy in Shanghai was monitored and the status of endoscopic disinfection management was investigated. Results All medical institutions attached great importance to the digestive endoscopy. The effective concentration of disinfectant, the hand hygiene of medical staff and the disinfection of the surface of environmental objects all qualified, but the disinfection failed on the inner surface of colonoscopy. Completely soaked, multi-enzyme lotion reuse and other issues. Conclusion The digestive endoscope disinfection in medical institutions in this area is in good condition. However, it is necessary to strengthen the management of the operation of enteroscopy disinfection and sterilization, and pay more attention to the details of routine disinfection.