| 王萍,樊莉铭,姚伊娜,潘玥玮,赵慧,蔡贤黎.比较两种清洗方法在软式内镜使用后再处理的有效性[J].上海护理,2019,19(12): |
| 比较两种清洗方法在软式内镜使用后再处理的有效性 |
| ompare the Effectiveness of Two Cleaning Methods for Soft Endoscopy after Use |
| DOI： |
| 中文关键词: 软式内镜， 再处理， 清洗方法， 有效性 |
| 英文关键词:Soft endoscope, Re-clean, Cleaning methods, Effectiveness |
| 基金项目:1.上海市科学技术委员会（16411950405）2.上海市护理学会（2016MS-B02） 3.上海消化内镜工程技术研究中心（NO.16DZ2280900） |
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| 摘要点击次数: 2001 |
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| 中文摘要: |
| 目的 软式内镜使用后再处理流程的探索，将优化手工流程与《内镜清洗消毒技术规范》（2004年）及（WS507-2016）中的常规清洗流程进行对比，比较两种方法的清洗效果，从而提高清洗质量。方法 在随机研究中，28根用于上消化道检查后的软式内镜被随机分配成优化清洗组和常规清洗组。同时使用相对光单位（Relative Light Unit, RLU）中体现的ATP水平和菌落形成单位（Colony Forming Unit, CFU）分别来评估软式内镜的清洗质量和微生物水平。结果 使用后的软式内镜再处理后，优化清洗组微生物水平降低2.33-LOG10 CFU，而常规清洗组微生物水平降低0.53-LOG10CFU，差异具有统计学意义（P=0.044）；优化清洗组内镜ATP水平降低2.39-LOG10 RLU，而常规清洗组内镜降低0.95-LOG10RLU（P＜0.001＝。在优化清洗组85.7%软式内镜RLU值低于200（12/14）而常规清洗组为14.3%（2/14）。结论 通过优化清洗后可显著地提高软式内镜再处理流程中的清洗质量，注重清洗过程的监测可以保证患者的安全，尽可能减少医院感染的潜在风险。 |
| 英文摘要: |
| Objectives We compare the cleaning effects of optimized manual cleaning and conventional cleaning process illustrated in “Endoscopic Cleaning and Disinfection Technical Specification, 2004” and WS507-2016 In order to explore a better process of soft endoscopy after use and improve cleaning quality. Methods Twenty-eight soft endoscopes used for upper gastrointestinal examination were randomly assigned to optimized wash group and regular wash group after use. At the same time, the ATP level and the Colony Forming Unit (CFU) embodied in the Relative Light Unit (RLU) were tested to evaluate the cleaning quality and microbial level of the soft endoscope respectively. Results After the cleaning process of soft endoscopes were used, the microbial level in the optimized cleaning group was reduced by 2.33-LOG10 CFU, while the microbial level in the conventional cleaning group was decreased by 0.53-LOG10CFU. The difference was statistically significant (P=0.044). The ATP level of endoscope in optimized cleaning group was reduced by 2.39-LOG10 RLU, while in conventional wash group endoscope ATP level was reduced by 0.95-LOG10RLU (P<0.001). In optimized wash group, 85.7% of soft endoscopes had RLU values ??below 200 (12/14) and 14.3% (2/14) in conventional wash group. Conclusion Optimizing the cleaning process for soft endoscope after use can significantly improve the cleaning quality, minimize the potential risk of hospital infection and ensure patient safety. |
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