医学临床研究
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医学临床研究  2019, Vol. 36 Issue (11): 2092-2094    DOI: 10.3969/j.issn.1671-7171.2019.11.004
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生物膜清洗剂对硬式腔镜器械的清洗效果及对医院感染的影响
张丽丽, 郎静, 王芳
江苏省中医院消毒供应中心,江苏 南京 210000
Effect of Biofilm Cleaning Agent on the Cleaning of the Hard-type Endoscope and the Effect on the Nosocomial Infection
ZHANG Li-li, LANG Jing, WANG Fang
Central Sterile Supply Department, Jiangsu Province Hospital of Chinese Medicine, Nan Jing JiangSu 210000
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摘要 【目的】探讨生物膜清洗剂对硬式腔镜器械的清洗效果及对医院感染的影响。【方法】选取2015年1月至2017年12月本院的硬式腔镜器械398件,随机分为观察组和对照组各199件。观察组使用生物膜清洗剂进行清洗;对照组使用全效酶清洗剂进行清洗。比较两组清洗方法清洗后器械合格情况、细菌检测情况及器械的损坏情况。【结果】特制无菌棉签检测合格情况:观察组管腔内壁、咬合齿部位合格率明显高于对照组(P<0.05),凹凸槽及把手部位合格率略高于对照组,但差异不具有统计学意义(P>0.05);ATP生物荧光检测合格情况:观察组管腔内壁、咬合齿及把手部位检测合格率显著高于对照组(P<0.05),凹凸槽部位合格率略高于对照组,但差异无统计学意义(P>0.05)。观察组各种病原菌含量明显低于对照组(P<0.05);观察组清洗后器械损坏率明显低于对照组(P<0.05)。【结论】使用生物膜清洗剂对硬式腔镜进行清洗,器械清洗合格率较高,残留病原菌少,且对器械损伤较小,值得临床推广应用。
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张丽丽
郎静
王芳
关键词 外科器械/副作用接触镜溶液交叉感染    
Abstract【Objective】To explore the cleaning effect of biofilm cleaner on hard endoscopic instruments and its effect on hospital infection. 【Methods】Three hundred and eighty-nine rigid endoscopic instruments from January 2015 to December 2017 were randomly divided into observation group and control group with 199 instruments each. The observation group was cleaned with biofilm cleaner and the control group was cleaned with total enzyme cleaner. After cleaning, the two groups were compared in terms of equipment qualification, bacterial detection and equipment damage. 【Results】The qualified rate of special sterile cotton swabs: the qualified rate of the inner wall of the lumen and the occlusal teeth in the observation group was significantly higher than that in the control group (P<0.05), the qualified rate of the concave convex groove and the handle was slightly higher than that in the control group, but the difference was not statistically significant (P>0.05); the qualified rate of ATP bioluminescence detection: the qualified rate of the inner wall of the lumen, the occlusal teeth and the handle in the observation group was significantly higher than that in the control group (P<0.0 5) the qualified rate of concave convex groove was slightly higher than that of the control group, but the difference was not statistically significant (P>0.05). The content of pathogenic bacteria in the observation group was significantly lower than that in the control group (P<0.05), and the damage rate of instruments in the observation group after cleaning was significantly lower than that in the control group (P<0.05). 【Conclusion】Using biofilm cleaning agent to clean the hard endoscope, the qualified rate of instrument cleaning is higher, the residual pathogens are less, and the damage to the instrument is less, which is worthy of clinical application.
Key wordsSurgical Instruments/AE    Contact Lens Solutions    Cross Infection
收稿日期: 2018-09-04     
PACS:  R197.39  
引用本文:   
张丽丽, 郎静, 王芳. 生物膜清洗剂对硬式腔镜器械的清洗效果及对医院感染的影响[J]. 医学临床研究, 2019, 36(11): 2092-2094.
ZHANG Li-li, LANG Jing, WANG Fang. Effect of Biofilm Cleaning Agent on the Cleaning of the Hard-type Endoscope and the Effect on the Nosocomial Infection. JOURNAL OF CLINICAL RESEARCH, 2019, 36(11): 2092-2094.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.11.004     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I11/2092
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