消毒供应中心集中管理模式对软式腔镜消毒及灭菌质量的影响

Influence of centralized management mode on disinfection and sterilization of flexible endoscopes in Central Sterile Supply Department

目的探讨消毒供应中心集中管理模式对软式腔镜消毒及灭菌质量的影响.方法采用整群抽样法,选取河南省商丘市第一人民医院2015—2018年处理的内镜为研究对象.将2015—2016年处理的内镜设为对照组(n=47250);2017—2018年处理的内镜设为试验组(n=55319).对照组在内镜中心设立清洗消毒间对软式内镜进行管理,试验组采用消毒供应中心集中管理模式.比较两组内镜消毒、灭菌质量.结果两组内镜消毒、灭菌质量监测结果比较差异有统计学意义(P<0.05).结论消毒供应中心集中管理模式下的软式内镜清洗消毒灭菌处理,通过合理配备设施及人员,严格质量控制,确保了软式内镜的消毒灭菌质量,保证了医护和患者的安全.

Objective To explore the influence of centralized management mode on disinfection and sterilization of flexible endoscopes in Central Sterile Supply Department (CSSD). Methods By cluster sampling, the endoscopes processed in the First People's Hospital of Shangqiu in He'nan province from 2015 to 2016 were selected for investigation. The endoscopes processed from 2015 to 2018 were put into the control group (n=47 250) and those processed from 2017 to 2018 were in the experimental group (n=55 319).The cleaning and sterilization room was set up to manage the flexible endoscopes in the control group while the CSSD centralized management mode was adopted in the experimental group. The quality of sterilization and disinfection in the two groups were compared. Results There were statistically significant differences between the two groups of endoscopes in the sterilization and disinfection quality monitoring results (P<0.05). Conclusions The cleaning, disinfection and sterilization of flexible endoscopes under the CSSD centralized management mode ensures the quality of disinfection and sterilization of flexible endoscopes and the safety of doctors, nurses and patients by reasonably equipping facilities and personnel and strict quality control.