儿科吸引类管腔器械清洗质量评价方法比较
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朱丽辉

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R197.323

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湖南省卫生计生委课题(B2015-132)


Evaluation of different methods for detecting cleaning efficacy of suction luminal devices in pediatric department
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    摘要:

    目的评价三种方法用于儿科吸引类管腔器械清洗质量的检测效果,寻找适合此类器械的检测方法。方法2016年1—4月采用随机数字表法对消毒供应中心清洗后的吸引类管腔器械进行抽样,使用目测借助放大镜检测法、杰力试纸检测法及ATP生物荧光检测法对同一类吸引管腔器械的外表面、螺纹接口及管腔内壁进行检测,比较三种方法的检测合格率。 结果目测借助放大镜检测法、杰力试纸检测法及ATP生物荧光检测法检测清洗后吸引类管腔器械合格率分别为99.00%、91.00%、71.50%,三种方法合格率比较,差异有统计学意义(χ2 =71.545,P<0.001),两两比较,差异均有统计学意义(均P<0.0167); 三种方法检测管腔外表面的清洗合格率均为100.00%;螺纹接口处的清洗合格率分别为100.00%、98.00%、97.00%,差异无统计学意义 (χ2=5.695,P>0.05);管腔内壁的清洗合格率分别为99.00%、92.00%、72.00%,差异有统计学意义(χ2=72.634,P<0.01),两两比较差异均有统计学意义(均P<0.01)。结论儿科吸引类管腔器械的外表面及螺纹接口处清洗质量可采用目测借助放大镜进行评估,管腔内壁清洗质量的检测应首选ATP生物荧光法,条件有限时可使用杰力试纸进行日常检测,辅以ATP生物荧光法定期检测。

    Abstract:

    ObjectiveTo evaluate the effect of three methods on detecting cleaning efficacy of suction luminal devices in pediatric department, and find out a proper detection method for such devices. MethodsRandom number table method was adopted to take samples of suction lumen devices after cleaned in central sterile supply department in JanuaryApril 2016, visual observation with the aid of magnifying glass, jieli strip detection method, and ATP bioluminescence assay were adopted to detect cleaning efficacy of outer surface, screwed connection, and inner wall of lumen devices, the qualified rates of cleaning detected by three methods were compared.  ResultsThe qualified rates of suction lumen devices after cleaned detected by visual observation with the aid of magnifying glass, jieli strip detection method, and ATP bioluminescence assay were 99.00%, 91.00%, and 71.50% respectively,qualified rates of cleaning detected by three methods were statistically significant(χ2 =71.545,P<0.001), pairwise comparison showed a significant difference (both P<0.0167); qualified rates of cleaning of the outer surface of lumen detected with three methods were all 100.00%; qualified rates of cleaning of screwed connection were 100.00%, 98.00%, and 97.00% respectively(χ2=5.695,P>0.05);qualified rates of cleaning of inner wall were 99.00%, 92.00%, and 72.00% respectively(χ2=72.634,P<0.01), pairwise comparison were all significantly different(all P<0.01). ConclusionThe cleaning quality of the outer surface and screwed connection of pediatric suction lumen devices can be assessed by visual observation with the aid of magnifying glass, cleaning quality of the inner wall of lumen can be detected by ATP bioluminescence method, when condition is limited,Jieli strip method can be used for routine detection, supplemented by ATP bioluminescence detection on a regular basis.

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刘世华,郭立平,尹忠元,等.儿科吸引类管腔器械清洗质量评价方法比较[J]. 中国感染控制杂志,2017,16(10):953-955. DOI:10.3969/j. issn.1671-9638.2017.10.013.
LIU Shihua, GUO Liping, YIN Zhongyuan, et al. Evaluation of different methods for detecting cleaning efficacy of suction luminal devices in pediatric department[J]. Chin J Infect Control, 2017,16(10):953-955. DOI:10.3969/j. issn.1671-9638.2017.10.013.

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  • 收稿日期:2016-12-20
  • 最后修改日期:2017-02-12
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  • 在线发布日期: 2017-09-30
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