吉林省39所医院消毒供应中心行业标准实施调查

Implementation of the industry standards of central sterile supply departments in 39 hospitals in Jilin Province

目的了解消毒供应中心(CSSD)三项行业标准的执行情况、成效及存在的问题,为标准的修订和卫生行政部门推进标准的实施提供依据。方法 2012年12月,采用卫生部医管所统一的调查方案,对吉林省39所不同级别医院CSSD和医院管理部门两个层面进行调查。结果调查省部级(10所)、地市级(9所)和县区级(20所)医院共39所。2009年4月1日后有28所医院进行了整体扩建或改建,同时全部依据CSSD三项标准对CSSD进行扩建或改建。纳入医疗质量管理的医院38所,占97.44%;采用信息技术建立CSSD质量管理与追溯系统的医院4所,正在开发的医院18所;CSSD平均面积为542 m2,平均配备14.37人,配备人数与100张床位比为1.75︰100;检查包装灭菌区的温度符合标准要求的医院25所,合格率为64.10%,湿度符合标准的医院23所,合格率为58.97%;清洗消毒设备配备率79.48%;终末漂洗用水,纯化水使用构成比为51.28%;环氧乙烷灭菌器配备率28.21%,过氧化氢等离子体灭菌器配备率56.41%;包装材料为棉织布的医院39所;按标准频率对压力蒸汽灭菌器进行生物监测的医院占89.74%。结论 CSSD行业标准发布后,吉林省各医院高度重视,在CSSD建筑布局、使用面积、人员配备及个人防护用品、清洗消毒设备和清洗耗材配备方面有较大提高。

Objective To realize the status,effectiveness and existed problems in the implementation of three in-dustry standards of central sterile supply departments （CSSDs）,and provide a scientific basis for the revision and execution of standards by public health authorities.Methods In December 2012,CSSDs and administration sections in 39 different level hospitals in Jilin Province were investigated by unified method of National Institute of Hospital Administration.Results A total of 39 hospitals,including 10 hospitals of provincial and ministerial level,9 munici-pal level,and 20 county level,were investigated. After April 1 ,2009,the overall expansion or reconstruction of 28 hospitals and their CSSDs based on the three standards have been finished. 38（97.44% ）hospitals were included in the medical quality management,4 hospitals established CSSDs quality management and traceability system by adop-ting information technology,and 18 were being developed;the average area of CSSDs was about 542 m2 ,average number of staff was about 14.37,and the ratio of staff to beds was 1.75：100;25 hospitals met the standard re-quirements for temperature in checking,packaging and sterilization area,qualified rate was 64.10% ,and 23 hospi-tals met the humidity standard,qualified rate was 58.97% ;79.48% of hospitals had cleaning and disinfection e-quipments;51.28% with purified water for end rinsing;28.21% had ethylene oxide sterilizer,56.41% had hydro-gen peroxide plasma sterilizer;39 hospitals used cotton cloth for packaging materials;89.74% of hospitals per-formed biological monitoring on pressure steam sterilizer in accordance with the standard frequency.Conclusion Af-ter the release of CSSD industry standard,hospitals in Jilin Province paid high attention,the CSSD constrution lay-out,use of space,staffing,personal protective equipment,cleaning and disinfection equipment and cleaning con-sumables are greatly improved.