某市28所医院小型压力蒸汽灭菌器使用现状调查分析

Current Using Situation of Table-top Steam Sterilizers in 28 Hospitals of a Certain City

目的调查某市28所医院小型压力蒸汽灭菌器使用现状,分析存在问题,为医院和卫生行政部门加强消毒灭菌监管提供依据。方法采用问卷调查和现场检查的方法,对某市二级乙等(含二级乙等)以上28所医院使用中的小型压力蒸汽灭菌器使用现状进行调查。结果 28所医院共配置68台小型压力蒸汽灭菌器,三级医院20台、二级医院48台;其中B型6台、N型44台、S型18台,由使用科室管理占94.12%,由消毒供应中心人员到科室集中管理占5.88%;三级医院正确负载率为85.00%,二级医院正确负载率为56.25%;三级及二级医院每锅物理监测执行率均为100.00%,三级医院化学监测执行率为85.00%、二级医院化学监测执行率为83.33%,三级医院每周一次生物监测执行率为80.00%、二级医院每周1次生物监测执行率为64.58%;三级医院使用小型压力蒸汽灭菌器科室建立灭菌物品清洗质量控制记录执行率为65.00%、二级医院使用小型压力蒸汽灭菌器科室建立灭菌物品清洗质量控制记录执行率为43.75%。结论某市医院小型压力蒸汽灭菌器以使用业务科室管理为主,相关业务科室不熟悉小型压力蒸汽灭菌器各类型的适用范围,灭菌前器械及物品清洗质量控制记录不完善,灭菌过程监测欠规范,需加强监管,促使各级别医院正确选择并使用小型压力蒸汽灭菌器。

Objective To investigate the current using situation of table - top steam sterilizers in 28 hospitals in a certain city, and to analyze the existing problems so as to provide aguidance for hospitals and the health administrative departments on disinfection and sterilization. Methods Used the way of questionnaire survey and field investigation to investigate the current using situation of table - top steam sterilizers in 28 middle second - class （ including middle second - class） and middle second - class above hospitals. Results There were totally 68 ta- ble -top steam sterilizers in 28 hospitals, 20 in third -level hospitals, 48 in second -level hospitals; there were 6 type B, 44 type N, 18 type S, 94. 12% managed by the using departments, and 5.88% managed by the stuff of central sterile supply department; the correct load rate of third - class hospitals was 85.00%, and for second - class hospitals was 56. 25% ; implementation rate of physical monitoring of each pot in both second - level and third - level hospitals were 100.00% , implementation rate of chemical monitoring was 85.00% in the third -level hospitals, 83.33% in the second -level hospitals, the implementation rate of biological moni-toring of each week was 80. 00% in the third - level hospitals, 64.58% in the second- level hospitals; The implementation rate of establishing the cleaning quality control record of sterile supplies in the departments with the use of table -top steam sterilizers was 65.00% in the third -level hospitals, 43.75% in the second -level hospitals. Conclusion The certain city＇s hospitals are mainly managed by the using department, the related business departments are not familiar with the functions of table - top steam sterilizers, the records of cleaning quality control of facilities and articles before sterilization are not completed, the monitoring of sterilization processes are lack of standardization, they need to consolidate monitoring, impel hospitals of each level to choose and use the tabletop steam sterilizers correctly.