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目的了解医用织物洗涤消毒质量与管理现状,为制定《可重复使用医用织物洗涤消毒技术规范》提供依据。方法采用现场查看和问卷调查方式,对湖北省68家医疗机构和社会化洗涤公司可重复使用医用织物洗涤消毒工作现状进行调查。结果随机抽检38家医疗机构洗涤消毒前医用织物312件次,从17件次医用纺织品上分别检出白色念珠菌、绿脓杆菌、金黄色葡萄球菌、枯草芽孢杆菌等种类细菌,从1件洗涤消毒后的医用纺织品上检出革兰阳性球菌。调查发现,部分单位医用纺织品洗涤消毒场所建筑简陋、布局不合理、相关制度缺乏或不健全;多数单位洗涤操作人员未接受过专业培训,洗涤消毒洁污不分,洗涤污水直接排放。结论湖北省进行医用纺织品洗涤消毒的医疗机构和社会化服务公司洗涤消毒工作不规范,洗涤消毒质量无保障,亟待加强规范化管理。
Objective To understand the status of medical fabric washing and disinfection quality and management, to provide a basis for the development of “reusable medical fabric washing and disinfection technical specifications.” Methods The status of reusable medical fabric washing and disinfection in 68 medical institutions and social washing companies in Hubei Province was investigated by field inspection and questionnaire survey. Results A total of 312 medical devices were disinfected before cleaning in 38 medical institutions. Candida albicans, Pseudomonas aeruginosa, Staphylococcus aureus and Bacillus subtilis were detected from 17 medical textiles. After disinfection of medical textiles, gram-positive cocci were detected. The survey found that some units of washing and disinfection of medical textiles construction simple, unreasonable layout, the relevant system is lacking or not perfect; most units of washing operators did not receive professional training, cleaning and disinfection of clean, direct discharge of washing sewage. Conclusions The medical institutions and social service companies in Hubei Province that carry out the washing and disinfection of medical textiles are not standardized in their washing and disinfection, and the quality of washing and disinfection is not guaranteed. Therefore, it is urgent to strengthen standardized management.