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目的调查医院消毒供应中心(CSSD)管理现状,为加强CSSD管理提出整改对策。方法按照医院CSSD行业标准,设计调查表对全省CSSD管理现状进行调查分析,加强培训和监管,推进CSSD验收工作。结果共调查120所医院,集中管理模式的医院7所,49%消毒员具有上岗证,88%医院的手术器械在手术室清洗,12%医院的手术器械消毒灭菌由CSSD完成,使用外来器械的医院有18%由CSSD清洗灭菌,65所医院具备敷料打包间,15所有带光源放大镜,7所有全自动清洗机,59%的医院进行清洗质量检查,每周生物监测仅39所;通过培训,281名院领导获得医院管理培训合格证书,426人获得消毒员岗位证书,部分CSSD通过验收。结论贵州省CSSD管理滞后、流程不合理、设施设备不足、清洗不规范、监控不力;通过加强监管,取得初步成效。
Objective To investigate the status quo of the management of hospital disinfection supply center (CSSD) and propose rectification measures to strengthen CSSD management. Methods According to the hospital CSSD industry standards, a questionnaire was designed to investigate and analyze the current situation of CSSD management in the province, strengthen training and supervision, and promote CSSD acceptance. Results A total of 120 hospitals were surveyed, and 7 hospitals were centrally managed. 49% of disinfection workers had an appointment card, 88% of hospitals operated surgical instruments were cleaned in the operating room, and 12% of the hospitals’ surgical instruments were sterilized by CSSD using foreign instruments Of the hospitals were cleaned and sterilized by CSSD, with 65 dressing and dressing rooms in 65 hospitals, 15 magnifiers with light sources, 7 all-automatic washing machines and 59% of hospitals for cleaning quality checks, with only 39 weekly biological monitoring; Training, 281 hospital leadership received hospital management training certificate, 426 people received sterilizer job certificate, part of the CSSD passed the acceptance. Conclusion The management of CSSD in Guizhou Province lagged behind, the process was irrational, the facilities and equipment were inadequate, the cleaning was not standardized, and the monitoring was ineffective. The initial results were achieved through strengthening supervision.