摘要
目的系统评价国内医院消毒供应中心(CSSD)器械清洗质量情况及相关影响因素。方法检索PubMed、知网等数据库,检索时限为建库至2024年5月,采用RevMan 5.4.1软件进行Meta分析。结果共纳入17篇文献,涉及16946例样本,研究显示国内医院CSSD器械清洗不合格率达11%。在考察的21项因素中,以下13项与器械清洗质量相关:预处理规范性、操作流程规范性、监管制度的严格性、清洗设备布局、清洗设备运用、清洗工具的选择、清洗剂的选择、清洗方式、器械浸泡清洗剂时间、存在除锈剂或清洗剂残留、质量检测方式、操作人员知识掌握情况和清洗人员防护情况。结论国内医院CSSD的器械清洗不合格率较高,多种因素均有可能导致器械清洗质量下降。
Objective To systematically evaluate the cleaning quality and related influencing factors of instruments in central sterile supply department of domestic hospitals.Methods ThePubMed,CNKI and other databases were searched from inception to May 2024.Meta-analysis was performed using Review Manager 5.4.1 software.Results A total of 17 articles were included,involving 16946 samples.The study showed that the unqualified rate of equipment cleaning in the central sterile supply departmentof domestic hospitals was 11%.Among the 21 factors investigated,13 were related to the quality of instrument cleaning:pretreatment standardization,operation process standardization,strictness of supervision system,layout of cleaning equipment,application of cleaning equipment,selection of cleaning tools,selection of cleaning agent,cleaning method,time of instrument soaking cleaning agent,presence of rust remover or cleaning agent residue,quality detection method,knowledge of operators and protection of cleaning personnel.Conclusion The unqualified rate of instrument cleaning in the CSSD of domestic hospitals is high,and many factors may lead to the decline of instrument cl eaning quality.
作者
卢美珍
莫军军
LU Mei-zhen;MO Jun-jun(Nursing Department of the First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310003,China)
出处
《中国消毒学杂志》
2025年第5期355-359,共5页
Chinese Journal of Disinfection
基金
浙江省医药卫生科技计划项目(2024KY993)
浙大一院护理科研项目(2023ZYHL38)。
关键词
器械清洗
消毒供应中心
影响因素
系统评价
instruments cleaning
central sterile supply department
influencing factors
systematic review
