管道清洗消毒器在呼吸机管道消毒中的应用

Clinical application of tube washer-disinfector in disinfection of breathing apparatus tube

目的探讨管道清洗消毒器在临床中的应用。方法对36例患者撤下的呼吸机管道、储水罐、Y型管,用咽拭子棉签擦拭其内壁送细菌培养,获得消毒前108份样本;然后用管道清洗消毒器对上述管道等器械进行清洗消毒;消毒后取同样标本送细菌培养,获得消毒后108份样本。结果消毒前送检108份样本的病原菌阳性检出率为63.0%,共检出病原菌11种84株,多为耐药菌;消毒后送检108例样本的病原菌阳性检出率为0,病原菌的杀灭率为100.0%。结论使用管道清洗消毒器的消毒方法是一种新型的消毒方法,此方法方便高效、安全可靠,值得在临床推广。

OBJECTIVE To study the effect of tube washer-disinfector in the clinical application. METHODS The inner of the breathing apparatus tube, watertrap and Y-piece which were used by 36 patients in RICU. The swab were submitted for bacterial culture, and then bacterial culture was processed. Another way was to wash and disinfection the tube, watertrap and Y-piece with Sweden tube washer-disinfector for 2 hours, and then the microbe culture in the same way was processed. RESULTS Totally 63 percent of the prevention took from the 108 specimens without disinfection shows masculine. The prevention had 11 species, 84 strains and most of them were drug-resistance bacteria. But none prevention showed masculine after disinfection, all of the Prevention had been killed. CONCLUSION Using the tube washer-disinfector is a new disinfection method, which is convenient, efficient, safe and reliable. It is worth popularizing in clinic.