2010～2016年济南市某二级医院内镜消毒质量监测

Monitoring on the quality of endoscopes disinfection in a secondary hospital,Jinan city,2010-2016

目的了解济南市某二级医院内镜清洗消毒质量,为医院感染控制提供依据。方法现场抽取消毒后使用前的内镜,按GB 15982-2012《内镜清洗消毒技术规范及消毒技术规范》的要求,检测内镜内腔冲洗液细菌菌落总数。结果2010~2016年共采样123份,总合格率62.60%。年度合格率分别为25.00%、50.00%、62.50%、65.00%、35.29%、100.00%、100.00%(P<0.01)。胃镜的合格率为70.97%,肠镜为30.77%,支气管镜为95.45%。酸化水消毒内镜的合格率为48.31%,邻苯二甲醛为100.00%。结论济南市某二级医院内镜用酸化电位水消毒时,合格率低,改用邻苯二甲醛消毒后,合格率高。

Objective To understand the quality of the endoscope cleaning and disinfection in a secondary hospital of Jinan city,so as to provide basis for nosocomial infection control. Methods The disinfected endoscopes was selected on the field,technical specification for cleaning and disinfection in endoscopes（2014）GB15982-2012 hygienic standards for hospital disiufection and technical specification for disinfection were used to detect total bacterial count inside the endoscopes. Results In a total of 123 endoscopes samples collected during 2010-2016,the total qualified rate was 62.60%.The annual qualified rate was 25.00%,50.00%,62.50%,65.00%,35.29%,100.00% and 100.00%（P〈0.01）.The qualified rate of the gastroscope was 70.97%,the enteroscope was 30.77% and the bronchoscope was 95.45%.The qualified rate was 48.31% when acidized electric water was used to disinfect endoscopes and that was 100.00% when Ortho-phthalaldehyde disinfectant was used. Conclusion The qualified rate is low when acidized electric water is used to disinfect endoscopes.And the qualified rate is high when Ortho-phthalaldehyde disinfectant is used.