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目的了解医院特殊医疗器材消毒管理情况,以便改进和加强管理。方法采用现场考察和填写调查表方法对临床特殊医疗器材的消毒技术和管理情况进行了专题调研。结果医院市场采购的一次性医疗用品主要采用环氧乙烷灭菌法,少数采用电离辐射灭菌法;使用后需要进行消毒处理者主要使用含氯消毒剂和戊二醛消毒剂处理。全院使用的一次性注射器、输液器、导尿管、胃管、吸痰管等物品抽样检测全部合格。各科室常用医疗器械使用后消毒处理多数采用含氯消毒剂浸泡处理;复用前灭菌多数采用戊二醛浸泡法,少数采用压力蒸汽灭菌法,仍有用低效消毒剂处理的情况。结论该医院一次性医疗用品灭菌质量能够得到保证,使用后处理和常用医疗器械消毒与灭菌处理存在不规范情况,需要改进提高。
Objective To understand the management of hospital special medical equipment disinfection in order to improve and strengthen management. Methods The field investigation and questionnaire filling method were used to investigate the disinfection technology and management of clinical special medical equipment. Results The disposable medical supplies procured in the hospital market mainly used the ethylene oxide sterilization method and the few used the sterilization method of ionizing radiation. The disinfectants that need to be sterilized mainly used chlorinated disinfectants and glutaraldehyde disinfectants. The hospital use of disposable syringes, infusion sets, urinary catheters, gastric tube, suction tube and other items all qualified sampling. Most departments commonly used disinfection of medical equipment disinfection treatment with chlorinated disinfectant soaked most of the sterilization before reuse by glutaraldehyde immersion method, a small number of pressure steam sterilization, there are still cases of ineffective disinfection. Conclusion The hospital disposable medical supplies sterilization quality can be guaranteed, the use of post-processing and sterilization of commonly used medical devices exist non-standard, need to improve and improve.