江苏省扬州市74家医疗机构消化内镜清洗消毒质量调查与建议

Survey and recommendations for gastrointestinal endoscope cleaning and disinfection quality in 74 medical institutions in Yangzhou of Jiangsu Province

  • 摘要:
    目的 调查扬州市各级医疗机构在消化内镜清洗消毒方面的人员培训、物资配备、流程执行及质量监测等现状,为进一步提升全市消化内镜清洗消毒的质量管理水平提供可靠数据。
    方法 根据行业最新标准设计调查问卷,对扬州市不同级别的74家医疗机构的消化内镜清洗消毒实施现状开展线上问卷调查,并对结果进行分析。
    结果 全市50.00%医院采用科室内自行培训的方式,仅有22人获得了省级及以上专业清洗消毒证书。21.62%医院的清洗消毒人员上岗前未进行考核。13.51%医院终末漂洗未使用纯化水, 44.59%医院未配置清洗消毒机。79.73%医院为纯手工记录。71.62%医院未能规范开展清洗质量监测, 83.78%医院未实施生物学滤膜监测法。此外,在2023年的生物学监测中, 14.86%医院存在微生物超标问题。
    结论 扬州市各医疗机构在内镜清洗、消毒标准的执行程度上参差不齐,部分一、二级医疗机构存在医院感染隐患。建议建立全市内镜清洗消毒专业人员准入体系,增加硬件设施投入,严格执行监测标准。

     

    Abstract:
    Objective To investigate the current situation of personnel training, material allocation, process implementation and quality monitoring of gastrointestinal endoscopy cleaning and disinfection in medical institutions at all levels in Yangzhou City, so as to provide reliable data for further improving the quality management of digestive endoscopy cleaning and disinfection in the city.
    Methods According to the latest industry standards, a questionnaire was designed to carry out an online questionnaire survey on the status quo of digestive endoscopy cleaning and disinfection in 74 medical institutions of different levels in Yangzhou City, and the results were analyzed.
    Results 50% of the city's hospitals adopt the way of self-training within the department, and only 22 people have obtained the provincial or above professional cleaning and disinfection certificate. In 21.62% of hospitals, cleaning and disinfection personnel were not assessed before starting work. 13.51% of the hospitals did not use purified water for terminal rinsing, and 44.59% of the hospitals did not have a cleaning and disinfection machine. 79.73% of hospitals recorded by hand. 71.62% of the hospitals failed to carry out standard cleaning quality monitoring, 83.78% of the hospitals did not implement biofiltration monitoring method. In addition, in the biological monitoring in 2023, 14.86% of hospitals had the problem of excessive microorganisms.
    Conclusion The implementation of endoscope cleaning and disinfection standards varied significantly among medical institutions in Yangzhou, with level one and level two hospitals posing potential hospital infection risks. It is recommended to establish a professional entry system for endoscope cleaning and disinfection personnel citywide, increase investment in hardware facilities, and strictly enforce monitoring standards.

     

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