2019年云南省消化内镜清洗消毒现状调查及建议

Investigation and suggestions on cleaning and disinfection of digestive endoscopes of Yunnan Province in 2019

为加强内镜消毒质量的管理,云南省消化内镜质控中心、云南省医院感染质量控制中心在2019年4—5月间,采用网络发放电子调查表的方法,对省内部分单位的消化内镜诊疗及清洗消毒状况、消毒质量进行调查,最终获取有效问卷277份。应用SPSS 19.0统计软件对227家二、三级医院的消化内镜清洗消毒流程及感染控制执行情况的影响因素进行分析。结果显示,云南省接受过系统培训的清洗消毒人员数量低于国内其他地区。医院级别、清洗消毒人员数量、清洗消毒方式等因素影响清洗消毒流程及感染控制的执行,而清洗消毒用品配置对于清洗消毒流程及感染控制的执行情况没有影响。由此可见,建立有效机制,督促消化内镜清洗消毒技术规范化实施具有重要的意义。

In order to strengthen the management of disinfection quality of endoscopes,Quality Control Center of Digestive Endoscopy and Nosocomial Infection Control Center of Yunnan Province investigated the diagnosis,treatment,cleaning and disinfection conditions and disinfection quality of digestive endoscopes in some medical institutions of Yunnan Province by web questionnaire from April to May in 2019,and 277 valid questionnaires were finally obtained.SPSS 19.0 statistical software was used to analyze the influencing factors of cleaning and disinfection process and the infection control implementation of digestive endoscopes in 227 secondary and tertiary hospitals.The results showed that the number of decontamination people who had received systematic training in Yunnan Province was significantly lower than that in other areas of China.The hospital level,the number of decontamination personnel,and decontamination methods affected the implementation of cleaning and decontamination process and infection control,while the allocation of decontamination supplies had no effects.It is important to establish an effective mechanism for the normalized implementation of cleaning and disinfection of digestive endoscopes.