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目的了解镇江市医疗机构内镜清洗消毒改进状况,提高内镜清洗消毒质量,为控制院内感染提供科学依据。方法采用问卷调查和现场抽样监测方法,问卷调查每天消化门诊和做内镜人数,多酶洗液的使用等内容,按照《消毒技术规范》和《内镜清洗消毒技术操作规范》对内镜及其相关用品进行采样。结果检测内镜及其相关用品293份,合格203份,合格率为69.3%,合格率比2006年提高了43.0%,上级医院明显好于下级医院。结论镇江市医疗机构内镜消毒现状不容乐观,应实行内镜诊疗许可制度,严格制定要求和标准,加强内镜消毒质量监测,提高消毒质量,保证医疗质量和医疗安全。
Objective To understand the improvement of endoscopic cleaning and disinfection of medical institutions in Zhenjiang and to improve the quality of endoscopic cleaning and disinfection so as to provide a scientific basis for the control of nosocomial infections. Methods The methods of questionnaire survey and on-site sampling and monitoring, daily digestion and endoscopy in the questionnaire survey, the use of multi-enzyme washings and so on were carried out according to “Technical Specifications for Disinfection” and “Code of Practice for Endoscope Cleaning and Sterilization” Its related supplies for sampling. Results 293 endoscopy and its related products were detected, 203 were qualified, the pass rate was 69.3%, the pass rate was 43.0% higher than in 2006, the superior hospital was significantly better than the lower hospital. Conclusion The current situation of endoscopic disinfection in medical institutions in Zhenjiang City is not optimistic. The endoscopic diagnosis and treatment permission system should be practiced. Requirements and standards should be strictly established to enhance endoscopic disinfection quality monitoring, improve disinfection quality, and ensure medical quality and medical safety.