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目的了解吉林省消化内镜清洗消毒现状。方法采用问卷调查方法,调查吉林省62所医院的消化内镜清洗消毒现状。结果平均每家内镜室有洗消人员(3.58±1.74)名,其中有专职洗消员的内镜室占62.90%,人均每日清洗内镜数量为(24.01±15.61)条。58.06%的医院使用2%戊二醛,38.71%的医院使用邻苯二甲醛(OPA),所有内镜室均使用多酶洗液,但能够做到多酶洗液一镜一换的内镜室占66.13%。全自动洗消机配置率为35.48%,超声波附件清洗器的配置率为66.13%,干燥设备的配置率为72.58%,且三级医院的配置率高于二级医院。所有医院均能做到每日监测消毒液浓度,所有三级医院均能做到每周消毒储存环境。结论虽然吉林省消化内镜清洗消毒整体水平有很大提高,但是在人员培训、设备配置、洗消细节的执行上存在很多问题,医院及内镜室管理人员应进一步加强监督管理和培训力度,促进消化内镜清洗消毒规范的执行。
Objective To understand the status of digestive endoscope cleaning and disinfection in Jilin Province. Methods A questionnaire survey was conducted to investigate the status of digestive endoscope cleaning and disinfection in 62 hospitals in Jilin Province. Results There was an average of 3.58 ± 1.74 housewives in each endoscopic room, of which 62.90% were end-stage occupational washings, and (24.01 ± 15.61) per capita. 58.06% of the hospitals use 2% glutaraldehyde, 38.71% of the hospitals use OPA, all the endoscopic rooms use multi-enzyme washing solution, Room accounted for 66.13%. The configuration rate of automatic decontamination machine was 35.48%, the configuration rate of ultrasonic accessory washer was 66.13%, the disposition rate of drying equipment was 72.58%, and the disposition rate of tertiary hospital was higher than that of secondary hospital. All hospitals can do daily monitoring of disinfectant concentration, all tertiary hospitals can do weekly disinfection storage environment. Conclusions Although the overall level of digestive endoscope cleaning and disinfection in Jilin Province has been greatly improved, there are many problems in the implementation of personnel training, equipment configuration and decontamination details. Hospital and endoscopic staff should further strengthen supervision and management and training, Promote the implementation of digestive endoscopy cleaning and disinfection specifications.