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目的了解内镜清洗消毒质量,比较不同清洗消毒方法效果。方法采用现场抽样检测方法,对不同清洗消毒方法的效果进行了监测。结果共检测清洗消毒后内镜161份,平均总合格率为80.1%。以无酶清洗消毒程序处理的84份内镜,消毒效果合格率为73.8%。用多酶洗剂清洗消毒程序处理的77份内镜,消毒效果合格率为87%。共检出致病菌32株,居前4位的分别是鲍曼不动杆菌、大肠埃希菌、枯草杆菌、铜绿假单胞菌。结论病人使用后的内镜用多酶洗剂进行清洗,可获得更好的消毒效果。
Objective To understand the quality of endoscopic cleaning and disinfection, disinfection methods to compare the effectiveness of different methods. Methods The method of on-site sampling was used to monitor the effects of different cleaning and disinfection methods. Results A total of 161 endoscopes were cleaned and disinfected, with an average total passing rate of 80.1%. With 84 endoscopes treated without enzyme cleaning and disinfection, the pass rate of disinfection effect was 73.8%. 77 multi-enzyme-based cleaning agent disinfection procedures endoscopic treatment, the disinfection pass rate of 87%. A total of 32 pathogens were detected, the top 4 were Acinetobacter baumannii, Escherichia coli, Bacillus subtilis, Pseudomonas aeruginosa. Conclusion After the endoscopic treatment of patients with multi-enzyme detergent for cleaning, better disinfection can be obtained.