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目的调查医院手术器械再处置情况,分析现状及存在问题。方法采用问卷调查方式对贵州省二级(含二级)以上医院手术器械的处置地点、清洗设备进行调查。结果 149所医院中,手术器械集中运送至CSSD清洗的医院占40.94%,59.06%医院在手术室进行清洗。手术室清洗设备调查显示,7.95%医院购置全自动清洗消毒机,17.05%的医院有超声清洗机,52.27%医院配置高压水枪及气枪,18.18%医院有干燥柜。按流程将厂家器械接收至CSSD处理的医院占62.79%,26.36%的医院直接在手术室清洗,在手术室灭菌厂家器械的医院占27.13%。结论多数医院在手术室清洗手术器械,但清洗设备不完善,厂家器械尚未完全由CSSD接收处理,需要进一步加强手术器械再处理管理,保障医疗安全。
Objective To investigate the situation of hospital surgical instruments re-disposal, analyze the status quo and existing problems. Methods A questionnaire survey was conducted to investigate the disposal sites and cleaning equipment of surgical instruments in secondary hospitals (including secondary level) in Guizhou Province. Results Among the 149 hospitals, 40.94% were hospitalized with centralized surgical instruments for CSSD cleaning and 59.06% were cleaned in the operating room. Surgical room cleaning equipment survey shows that 7.95% of hospitals purchase automatic cleaning and disinfecting machines, 17.05% of hospitals have ultrasonic cleaners, 52.27% of hospitals have high-pressure water cannons and air guns, and 18.18% of hospitals have drying cabinets. According to the process, 62.79% of hospitals received CSSD treatment, 26.36% of hospitals cleaned directly in the operating room, and 27.13% hospitals sterilized factory equipment in the operating room. Conclusions Most hospitals clean surgical instruments in the operating room, but the cleaning equipment is not perfect. The manufacturers’ instruments have not yet been fully accepted by the CSSD. The management of surgical instruments needs to be further strengthened to ensure the medical safety.