内镜诊疗中心管理及清洗消毒现状分析

Analysis of Investigation Report on Management and Cleaning and Disinfection Status of endoscopy center

目的:通过汇总和分析2006年—2019年发表的关于内镜中心管理和清洗消毒质量的调研报告,了解我国目前内镜中心的发展情况和存在的问题。方法:通过数据库检索2006年—2019年关于内镜中心清洗消毒和感染管理调研的文献,并对文献中的数据进行汇总和分析。对管理要求、布局及设施、设备要求、清洗消毒操作规程、监测与记录、培训和职业安全防护、抽检合格率等方面数据进行分析。结果:共收集2006年—2019年发表的相关文献50篇,涉及2981所医疗机构。管理要求方面,81.4%的医疗机构已建立内镜管理的各项规章制度。布局和设施方面,77.3%医院设置了独立清洗消毒室。清洗消毒流程方面,74.1%的医院清洗流程符合规范,74.7%的医院消毒/灭菌流程符合规范。监测与记录方面,83.3%医院每季度开展内镜消毒质量监测。培训和职业安全防护方面,74.0%消毒员接受过专业培训,69.6%消毒员佩戴适合的个人防护用品。抽检合格率方面,78.7%的消毒内镜内腔染菌量检测合格。结论:我国内镜中心虽已建立基本的管理制度和清洗消毒流程,但在许多细节上仍存在不足。应通过精细化的管理进一步提高内镜中心感染管理质量,以保证患者诊疗安全。

Objective:This study will summarize and analyze the research reports on the quality of management,cleaning and disinfection of endoscopy published from 2006 to 2019 in order to understand the current situation and problems of the development of endoscopy centers in China.Methods:All the literatures on cleaning,disinfection and infection management of endoscopy centers from 2006 to 2019 were retrieved from database,and the data in the literatures were summarized and analyzed.Finally,the data will be presented from the following six aspects:management requirements,layout and facilities,equipment requirements,cleaning and disinfection operating procedures,monitoring and recording,training and occupational safety protection,and acceptance rate of sampling inspection.Results:A total of 50 relevant literatures were collected from 2006 to 2019,involving 2981 medical institutions.In terms of management,81.4%of health care institutions have established various regulations for endoscopy management.In terms of layout and facilities,77.3%of hospitals have set up independent cleaning and disinfection rooms.In terms of cleaning and disinfection process,74.1%of the hospital cleaning process conformed to the standards,and 74.7%of the hospital disinfection/sterilization process conformed to the guidelines.In terms of monitoring and recording,83.3%hospitals carry out quarterly monitoring of endoscopic disinfection quality.In terms of training and occupational safety protection,74.0%of disinfectors received professional training,and 69.6%of disinfectors wore suitable personal protective equipment.As for the qualified rate of sampling,78.7%of endoscopy disinfection were qualified.Conclusion:Although the endoscopy center has established a basic management system and cleaning and disinfection process,it still has deficiencies in many details.It is necessary to further improve the management quality through refined management methods to ensure the safety of patients.