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目的 了解一次性使用医疗用品及供应室自行消毒的无菌医疗用品的内毒素污染情况 ,以规范一次性使用医疗用品的管理。方法 对 1997~ 1999年我院购进的各厂家生产的不同批号的一次性输液器、注射器、输血器及本院供应室自行灭菌的玻璃注射器等内毒素检测结果进行统计分析。结果 3年间本院供应室消毒灭菌的玻璃注射器内毒素检测平均阳性率为 4 .5 3% ,一次性注射器为 0 .16 % ;一次性注射针头阳性率 3.73% ;同批号产品重复检测前后阳性率分别为 3.34%和 1.89%。结论 应加强内毒素检测试验的标准化管理 ,并建议生产厂家选用塑料盒包装针头 ,或采用给针头加硬质“帽”,再用塑料袋的双层包装法 ,以确保医疗产品的灭菌质量
Objective To understand the endotoxin contamination of sterile medical supplies sterilized by disposable medical supplies and supply rooms in order to regulate the administration of disposable medical supplies. Methods The endotoxin test results of single batch transfusion devices, syringes, blood transfusion devices and self-sterilized glass syringes manufactured by our factory from 1997 to 1999 were statistically analyzed. Results The average positive rate of endotoxin test in glass syringes sterilized in our hospital supply room was 4.53% in 3 years and 0.16% in disposable syringes. The positive rate of single needle injection was 3.73% The positive rates were 3.34% and 1.89% respectively. Conclusions The standard management of endotoxin testing should be strengthened and manufacturers are suggested to use plastic box for packaging needles or double-layer packaging with plastic bags in order to ensure the sterilization quality of medical products