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目的了解广州市不同等级医院内镜清洗消毒管理现况,发现存在问题,以便改进内镜消毒质量。方法采用问卷调查与现场调查相结合的方法,对广州市不同等级开展胃肠镜诊疗工作的40家综合医院内镜清洗消毒管理现状进行调查。结果清洗人员主要为护理人员和聘用工人;有72.5%的医院由护理人员负责内镜的清洗消毒工作,27.5%的医院由聘用工人负责内镜清洗消毒;其中有24.2%属兼职清洗人员。有70%的医院能将内镜诊疗与清洗消毒分室进行,只有35%的三级医院内镜清洗消毒室面积≥20 m2。内镜室基本清洗消毒设施齐全的医院只占37.5%,三级医院占60%配置齐全,所有二级医院消毒设施配置均不齐全。40所医院中,仅有5所医院能对消毒剂浓度进行择机检测。结论广州市医院内镜清洗消毒管理现状不理想,内镜超负荷使用,消毒设施配置不齐全,需要加强管理。
Objective To understand the status of endoscopic cleaning and disinfection management in different levels of Guangzhou and to find out the problems so as to improve the quality of endoscopic disinfection. Methods The methods of questionnaire survey and field investigation were used to investigate the status of endoscopic cleaning and disinfection management in 40 general hospitals in different levels of Guangzhou for gastroenteroscopic diagnosis and treatment. Results The cleansing staff mainly consisted of nurses and employed workers; 72.5% of the hospitals were staffed by nurses for endoscopic cleaning and disinfection; 27.5% of the hospitals were hired for endoscopic cleaning and disinfection; 24.2% were part-time cleansing workers. 70% of hospitals can endoscopy diagnosis and disinfection sub-room, only 35% of tertiary hospitals endoscopic cleaning and disinfection area ≥ 20 m2. Endoscopy room basic cleaning and disinfection facilities only 37.5% of hospitals, tertiary hospitals accounted for 60% of the configuration is complete, all secondary hospital disinfection facilities are not complete configuration. Of the 40 hospitals, only five hospitals were able to perform selective machine test on disinfectant concentrations. Conclusion Guangzhou City Hospital endoscopic cleaning and disinfection management status is not satisfactory, endoscopic overload, disinfection facilities configuration is not complete, the need to strengthen management.