摘要
目的探讨模拟肺在消毒供应中心进行集中清洗消毒的清洗效果。方法将2022年5月-2023年5月于解放军总医院第一医学中心模拟肺100套,分为对照组与试验组进行检测,均为50套,其中对照组由重症监护室(ICU)采取常规消毒进行处理,试验组由消毒供应中心采取高水平消毒,并采用目测法、ATP生物荧光检测法和细菌学检测法对两组模拟肺的表面、接口处及球囊褶皱处进行清洗消毒效果评价。结果对表面、接口处、球囊褶皱处,目测法结果显示,对照组模拟肺的合格率分别为92.00%、84.00%、44.00%;试验组合格率分别为100.00%、100.00%、96.00%;细菌学检测法结果显示,对照组模拟肺的合格率分别为86.00%、40.00%、0;试验组合格率分别为100.00%、100.00%、94.00%;ATP生物荧光检测法结果显示,对照组合格率分别为86.00%、84.00%、80.00%,试验组100.00%、100.00%、96.00%,试验组清洗消毒效果优于对照组,差异具有统计学意义(P<0.05)。结论消毒供应中心清洗集中处理模拟肺的清洗消毒效果优于ICU自行手工处理,能够保证清洗消毒质量,有效减少院内交叉感染的发生。
OBJECTIVE To evaluate the cleaning effectiveness of lung simulators undergoing centralized cleaning and disinfection in the central sterile supply department(CSSD).METHODS A total of 100sets of lung simulators from the First Medical Center of the PLA General Hospital between May 2022and May 2023were divided into a control group and an experimental group(50sets each).The control group underwent routine disinfection in the intensive care unit(ICU),while the experimental group received high-level disinfection in the CSSD.Visual inspection,ATP bioluminescence assay,and bacteriological testing were conducted to assess the cleaning and disinfection effectiveness on the surfaces,connectors,and bellows′folds of the lung simulators in both groups.RESULTS For surfaces,connectors and bellows′folds,visual inspection showed qualification rates of 92.00%,84.00%and 44.00%in the control group,and 100.00%,100.00%and 96.00%in the experimental group;bacteriological testing revealed qualification rates of 86.00%,40.00%and 0in the control group,and 100.00%,100.00%and 94.00%in the experimental group;and ATP bioluminescence assay indicated qualification rates of 86.00%,84.00%and 80.00%in the control group,and 100.00%,100.00%and 96.00%in the experimental group.The experimental group demonstrated superior cleaning and disinfection effectiveness compared to the control group,with statistically significant differences(P<0.05).CONCLUSIONCentralized cleaning and disinfection of lung simulators in the CSSD outperforms manual processing in the ICU,which ensure higher quality and effectively reduce the risk of hospital-acquired cross-infections.
作者
赵艳秋
邱素红
陈强
王朝阳
程颖
ZHAO Yanqiu;QIU Suhong;CHEN Qiang;WANG Zhaoyang;CHENG Ying(Department of Sterile Supply,First Medical Center of PLA General Hospital,Beijing 100853,China)
出处
《中华医院感染学杂志》
北大核心
2025年第24期3813-3816,共4页
Chinese Journal of Nosocomiology
基金
国家卫生健康委医院管理研究所消毒供应管理创新研究项目(XY2024026)。
关键词
集中处理
复用模拟肺
高水平消毒
清洗效果
效果对比
清洗工具
Centralized processing
Reusable lung simulator
High-level disinfection
Cleaning effectiveness
Effectiveness comparison
Cleaning tools
