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目的了解医疗机构内镜室建设及消化内镜消毒效果现状,以加强医院内镜消毒与灭菌质量。方法通过现场调查和抽样检测方法,对省内10所医疗机构内镜室进行了监测和评价。结果所调查的10所医疗机构中,有7所设立了独立的清洗消毒室,配备了清洗消毒设备和内镜保存柜,有完整的清洗消毒记录。采集胃镜样本189份,消毒效果合格率为75.13%;三级医院胃镜消毒效果合格率为87.88%,二级医院胃镜消毒效果合格率为61.11%。采集肠镜样本69份,消毒效果合格率为66.67%,其中三级医院合格率77.41%,二级医院合格率为57.89%。结论山东省部分医疗机构消化内镜消毒质量总体偏低,硬件建设达标率只有70%,应加强内镜消毒监督管理,确保内镜消毒质量。
Objective To understand the current status of endoscopic chamber construction and digestive endoscopy disinfection in medical institutions to enhance the quality of endoscopic disinfection and sterilization in hospitals. Methods Through the field survey and sampling methods, the endoscopic surveillance of 10 medical institutions in the province was monitored and evaluated. Results Of the 10 medical institutions surveyed, 7 set up independent cleaning and disinfection rooms equipped with cleaning and disinfection equipment and endoscopic preservation cabinets with complete cleaning and disinfection records. 189 samples of gastroscope were collected, the pass rate of disinfection was 75.13%; the pass rate of gastroscope disinfection in tertiary hospitals was 87.88%; the pass rate of secondary disinfection in gastroscope was 61.11%. Sixty-nine colonoscopy samples were collected, the pass rate of disinfection was 66.67%, of which the qualified rate of tertiary hospitals was 77.41% and that of secondary hospitals was 57.89%. Conclusion The quality of digestive endoscopy in some medical institutions in Shandong Province is generally low, and the compliance rate of hardware construction is only 70%. Supervision and management of endoscopic disinfection should be strengthened to ensure the quality of endoscopic disinfection.