摘要
内镜逆行胰胆管造影术是胆道和胰腺疾病诊断和治疗的主要方式之一。与其他消化道内镜相比,十二指肠镜具有特殊的结构。自2010年发现十二指肠镜传播多重耐药菌的医院感染暴发事件,十二指肠镜为代表的消化道内镜再处理和设计面临新的挑战。该文从十二指肠镜结构特点、相关感染暴发案例、暴发控制措施以及一次性十二指肠镜使用等方面回顾近10年来国际上对十二指肠镜再处理方面的进展,为国内十二指肠镜再处理和相关医院感染防控工作提供指导借鉴。
Endoscopic retrograde cholangiopancreatography is one of the main methods for the diagnosis and treatment of biliary tract and pancreatic diseases.Compared with other digestive endoscopes,duodenoscopy has a special structure.Since the outbreaks of nosocomial infections caused by the transmission of multidrug-resistant organism through duodenoscopy in 2010,the reprocessing and design of digestive endoscopes represented by duodenoscopy have faced new challenges.This article reviews the international advances in duodenoscopy reprocessing in the past 10 years including the structural characteristics of duodenoscope,related infection outbreak cases,outbreak control measures,and the use of disposable duodenoscopy,so as to provide guidance and reference for the duodenoscopy reprocessing and related nosocomial infections prevention and control work in China.
作者
葛茂军
GE Maojun(Department of Surgery,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,P.R.China;Big Data Center,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,P.R.China)
出处
《华西医学》
CAS
2024年第3期344-352,共9页
West China Medical Journal
基金
上海申康发展中心市级医院诊疗技术推广及优化管理项目(SHDC22022218,SHDC22023248,SHDC22023215)。
关键词
十二指肠镜
内镜逆行胰胆管造影术
再处理
消毒
Duodenoscopy
endoscopic retrograde cholangiopancreatography
reprocessing
disinfect
