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目的了解西北地区东片部队医疗机构消化内镜的消毒质量情况。方法采用现场检查和问卷方式进行调查。结果部队医疗机构2006-2009年设独立清洗消毒室的单位合格率范围72.7%～100%;有专用清洗槽的单位为81.8%～100%;有清洗消毒机的单位为9.1%～36.4%;有高压水枪的单位为0%～36.4%;有超声清洗机的单位为36.4%～54.5%。所有医疗机构消化内镜消毒均采用戊二醛消毒剂,使用多酶洗液清洗消化内镜的单位数逐年增加。到2009年所有内镜室都对使用中戊二醛每日进行浓度监测,有80%以上单位开展对内镜消毒效果和室内空气卫生学监测以及其他项目监测工作。结论所调查的部队医疗机构消化内镜消毒技术总体上相对落后,所有内镜室均采用戊二醛消毒,专用消毒装置配置率较低,需要加强监督监管力度,提高内镜消毒质量。
Objective To understand the quality of digestive endoscopy disinfection of medical institutions in the eastern part of Northwest China. Methods Using on-site inspection and questionnaire survey. Results The unit qualification rate of independent cleaning and disinfection units in military medical institutions between 2006 and 2009 ranged from 72.7% to 100%. The units with dedicated cleaning tanks ranged from 81.8% to 100%. The units with cleaning and disinfection units ranged from 9.1% to 36.4% The unit with high pressure water gun is 0% ~ 36.4%; the unit with ultrasonic cleaning machine is 36.4% ~ 54.5%. All medical institutions digestive endoscopic disinfection are used glutaraldehyde disinfectant, the use of multi-enzyme washing liquid to digest the number of units increased year by year. By 2009, all endoscopy rooms use daily glutaraldehyde concentration monitoring. Over 80% of them carry out endoscopic disinfection and indoor air hygiene monitoring and other project monitoring. Conclusions The digestive endoscopy disinfection technique of the military medical institutions surveyed is generally lagging behind. All the endoscopic rooms are disinfected with glutaraldehyde. The disposition rate of special sterilizing devices is relatively low. Supervision and supervision should be strengthened to improve the quality of endoscopic disinfection.