苏州市75家医院消化内镜中心全自动清洗消毒机现状调查

Survey on the status of fully automatic cleaning and disinfecting machine in gastrointestinal endoscopy center of 75 hospitals in Suzhou

目的了解苏州市医疗机构消化内镜中心全自动清洗消毒机配备现状。方法针对苏州市从事消化内镜技术的各级医疗机构,采用问卷调查方式,对基本状况、洗消中心管理及自动清洗机配备与维护方面进行研究。结果参加调查的75家医疗机构中,25.33%的医院设立了内镜洗消中心并由消毒供应中心统一负责质量管控;28家医院内镜中心共配备86台全自动清洗消毒机,其中三级医院的配备率为75.58%;22.22%的三级医院在选择专用镜刷时,未能根据内镜管径大小进行匹配;在设备功能方面,81.40%的洗消机设备具备测漏功能;52.33%的设备能调节清洗消毒温度以符合不同的清洗需求;90.70%的设备具备自身消毒程序,减少人工干预;而82.56%的设备能自动记录清洗消毒过程并打印相关数据,有助于追踪溯源;近半年内,50.00%的医院有全自动清洗消毒机维修记录,主要原因是消毒液面过高或过低及洁净压缩空气过滤膜堵塞。结论苏州市消化内镜中心软式内镜的自动清洗消毒机配备率仍需提升,目前设备功能缺乏统一规范标准,且设备维修问题众多。为确保患者诊疗安全,医院管理部门应加大维护保养及检修力度,规范相关性能参数,强化内镜清洗消毒效果的监测。同时,需关注设备功能完善与更新,以确保设备能满足临床需求,保障患者诊疗安全。

OBJECTIVE To understand the current status of fully automatic cleaning and automatic cleaning and disinfection machine in gastrointestinal endoscopy centers of medical institutions in Suzhou City,China.METHOD For medical institutions engaged in digestive endoscopy technology in Suzhou City,a questionnaire survey was conducted to study the basic situation,reprocessing center management and automatic washer allocation and maintenance.RESULTS Of the 75 medical institutions investigated,25.33%of the hospitals set up endoscopic reprocessing centers and were uniformly responsible for quality control by disinfection supply centers.A total of 86 automatic washer-disinfectors were equipped in 28 hospitals endoscopy centers,of which the allocation rate in tertiary hospitals was 75.58%.22.22%of tertiary care hospitals failed to match the endoscope diameter size when selecting a dedicated endoscope brush.In terms of equipment function,81.40%of the reprocessing equipment had leakage test function,52.33%of the equipment could adjust the cleaning and disinfection temperature to meet different cleaning needs,90.70%of the equipment had self-disinfection procedures to reduce manual intervention;while 82.56%of the equipment could automatically record the cleaning and disinfection process and print the relevant data,which was helpful for tracking traceability.In the past six months,50%of hospitals had automatic washer-disinfector maintenance records,mainly due to too high or too low liquid level of disinfectant,as well as clean compressed air filter membrane blockage.CONCLUSIONS The rate of automatic cleaning and disinfection machine equipped with flexible endoscopes in Suzhou Digestive Endoscopy Center still needed to be improved,the current function of equipment lacked a unified standardization of norms and standards,and there were numerous problems with the maintenance of equipment.In order to ensure the safety of diagnosis and treatment for patients,hospital management should intensify the maintenance and overhaul efforts,standardize the relevant performance parameters,and strengthen the monitoring of the cleaning and disinfection effect of endoscope.At the same time,attention should be paid to improving and updating the function of the equipment to ensure that the equipment could meet the clinical needs and guarantee the safety of patient diagnosis and treatment.