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目的了解本溪市医疗机构内镜使用管理情况,采取有效措施预防医院感染发生几率,保障医疗安全。方法采用问卷、现场答题和抽样监测方法进行调查。结果各内镜室有独立的清洗消毒区域,管理制度健全,活检钳和内镜数量能满足日常诊疗需求。调查85名内镜室医护人员均未感染血源性传播疾病;抽查软式内镜监测30份,合格22份,合格率73.33%,消毒用戊二醛浓度采样监测10份,合格9份,合格率90.00%。结论胃肠镜等消毒内镜洗消不合格现象居多,存在院内感染隐患。各医疗机构应重视胃镜、肠镜清洗消毒质量,加强消毒效果监测和消毒剂浓度监测,防控交叉感染。
Objective To understand the use of endoscopic management of medical institutions in Benxi City, take effective measures to prevent the occurrence of nosocomial infections and ensure medical safety. Methods The questionnaires, on-site answers and sample monitoring methods were used to investigate. Results Each endoscopic room has an independent cleaning and disinfection area, a sound management system, the number of biopsy forceps and endoscopy to meet the needs of routine care. Survey of 85 endoscopy room medical staff were not infected with blood-borne diseases; random endoscopic surveillance of 30 samples, 22 qualified, with a pass rate of 73.33%, disinfection glutaraldehyde concentration sampling monitoring of 10, 9 qualified, Pass rate 90.00%. Conclusion Gastrointestinal endoscopy and other disinfection endoscopic disinfection mostly failed, there are hidden dangers of nosocomial infection. Medical institutions should pay attention to gastroscopy, colonoscopy cleaning and disinfection quality, strengthen the monitoring of disinfection and disinfectant concentration monitoring, prevention and control of cross-infection.