西安市二级及以上医院消毒供应中心现状调查分析

Investigation and analysis of the current situation of central sterile supply department in secondary and above hospitals in Xi’an

目的了解西安市二级以上医院消毒供应中心(CSSD)管理现状及监测情况,为制订干预措施提供理论基础。方法采用问卷调查与现场查看相结合的方式,利用Epidata3.1建立数据库,SPSS 21.0统计软件完成数据分析。结果共调查三级医院15家、二级医院43家,96.6%的医院CSSD为集中管理,5家医院CSSD周围环境有污染源或建在地下或半地下;80%的三级医院有高级职称人员,显著高于二级医院(P<0.001);部分设备设施如水处理设备、超声清洗机等配置比例偏低,三级医院配置比例均高于二级医院(P<0.05);9家二级医院压力蒸汽灭菌器生物监测不规范。结论西安地区医院CSSD集中管理情况尚佳,但部分建筑布局不合理,人员素质有待提高,清洗相关设备设施配置率偏低,信息追溯和常规监测仍有待规范。同时,二级医院整体情况不容乐观,亟待改善。

Objective To investigate the current situation and monitoring status of central sterile supply department(CSSD)in secondary and above hospitals in Xi’an,and to provide a theoretical basis for formulating intervention measures.Methods Using a combination of questionnaire survey and on-site viewing,Epi Data 3.1 was used to establish a database,and SPSS 21.0 statistical software was used to complete data analysis.Results A total of 15 tertiary hospitals and 43 secondary hospitals were investigated.In 96%of hospitals,centralized management was performed in CSSDs,and there was pollution sources in the surrounding environment of CSSDs or CSSDs were built underground or semi-underground in 5 hospitals.80%of tertiary hospitals had staff with senior professional titles,and the proportion was significantly higher than that of secondary hospitals(P<0.001).Some equipment and facilities,such as water processing system,ultrasonic cleaning machines,etc.,were allocated with a low proportion;the proportion of tertiary hospitals was higher than that of secondary hospitals(P<0.05).Biological monitoring of pressure steam sterilizers in 9 secondary hospitals was not standardized.Conclusion The CSSD centralized management of hospitals in Xi’an is good,but the layout of some buildings was unreasonable.The quality of personnel needs to be improved,and the allocation rate of cleaning-related equipment and facilities is relatively low.Information traceback and routine monitoring still need to be standardized.At the same time,the overall situation of secondary hospitals is not optimistic and need to be improved urgently.