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目的了解阜阳市医疗机构医用内窥镜消毒灭菌效果,为预防医院内感染提供依据。方法内窥镜使用前,在不同部位采样进行细菌培养、致病菌分离、无菌试验和乙肝表面抗原测定。结果2002年~2005年共采集11家医院的337件样本,合格样本270份,总合格率为80.12%。内窥镜消毒灭菌效果合格率逐年提高。活检管道合格率从2002年的30.77%提高到2005年100%,注水瓶水、使用中消毒液合格率都从2002年很低提高到2005年的90%以上。结论加强管理,改善消毒灭菌方法,可有效提高医用内窥镜消毒灭菌效果。
Objective To understand the disinfection and sterilization effects of medical endoscopes in medical institutions in Fuyang and provide the basis for prevention of nosocomial infections. Methods Endoscopy before use, in different parts of the sample for bacterial culture, bacteria isolation, sterility test and hepatitis B surface antigen determination. Results A total of 337 samples from 11 hospitals were collected from 2002 to 2005, with 270 qualified samples, the total pass rate was 80.12%. Endoscope disinfection sterilization pass rate increased year by year. The pass rate of biopsy pipeline increased from 30.77% in 2002 to 100% in 2005. The pass rate of water bottle and disinfectant in use increased very low from 2002 to over 90% in 2005. Conclusion Strengthening management and improving disinfection and sterilization methods can effectively improve the sterilization effect of medical endoscopes.