2008—2021年医院CSSD外来医疗器械及植入物管理现状Meta分析
作者:
作者单位:

1.河南大学护理与健康学院, 河南 开封 475000;2.河南省人民医院消毒供应中心 河南省医疗器械灭菌质控医学重点实验室, 河南 郑州 450003

作者简介:

通讯作者:

姚卓娅  E-mail: 13663819365@126.com

中图分类号:

R197.323.4

基金项目:

河南省科技攻关计划省部共建项目(SB201901089)


Current management status of loaner medical instruments and implants in hospital central sterile supply department from 2008 to 2021: a Meta-analysis
Author:
Affiliation:

1.School of Nursing and Health, Henan University, Kaifeng 475000, China;2.Central Sterile Supply Department, Henan Provincial People's Hospital, Henan Provincial Medical Key Laboratory for Quality Control of Medical Devices Sterilization, Zhengzhou 450003, China

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 评估中国医院消毒供应中心(CSSD)外来医疗器械及植入物处置与管理现状,为规范外来医疗器械及植入物的处置与管理, 预防和控制医院感染风险提供数据支持。 方法 检索2008年1月—2021年8月中国知网、万方、维普、中国生物医学文献数据库、PubMed数据库中中国各医院外来医疗器械及植入物处置与管理现状的文献,严格按照纳入及排除标准进行文献筛选和数据提取,使用Stata 16.0软件进行Meta分析。 结果 研究共纳入12篇文献2 769所医院。Meta分析合并结果显示,外来医疗器械及植入物管理与处置制度落实率为90%(95%CI:84%~96%),专业人员培训落实率为68%(95%CI:48%~89%),接收地点为CSSD落实率为58%(95%CI:42%~75%),术前1 d送达落实率为68%(95%CI:54%~82%),术后于CSSD清洗消毒落实率为48%(95%CI:20%~75%),厂商提供正确的灭菌程序与参数落实率为54%(95%CI:27%~81%),专岗负责落实率为63%(95%CI:41%~86%)。 结论 中国医院对外来医疗器械及植入物的处置与管理尚存在专岗负责制落实率低,专业人员培训不到位,术后在CSSD清洗消毒实施率较低,部分厂家未提供正确灭菌程序与参数等问题,仍需要规范处置与管理制度,细化处置流程及质量控制细节,强化专业人员培训。

    Abstract:

    Objective To evaluate the disposal and management status of loaner medical instruments and implants in central sterile supply department(CSSD)of China, provide data support for standardizing the disposal and mana-gement of loaner medical instruments and implants, prevent and control the risk of healthcare-associated infection. Methods Literatures on the disposal and management status of loaner medical instruments and implants in Chinese hospitals between January 2008 and August 2021 were retrieved from China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP, China Biology Medicine disc (CBM) and PubMed, literatures were screened and data were extracted strictly according to the inclusion and exclusion criteria, Stata 16.0 software was adopted for Meta-analysis. Results A total of 12 literatures involving 2 769 hospitals were included in the study. The combined results of Meta-analysis showed that the implementation rate of the management and disposal system of loaner medical instruments and implants was 90% (95%CI: 84%-96%), implementation rate of professional training was 68% (95%CI: 48%-89%), implementation rate of CSSD as receiving location was 58% (95%CI: 42%-75%), implementation rate of delivery one day before operation was 68% (95%CI: 54%-82%), implementation rate of cleaning and disinfection in CSSD after operation was 48% (95%CI: 20%-75%), implementation rate of correct sterilization procedures and parameters provided by manufacturers was 54% (95%CI: 27%-81%), and the implementation rate of special post responsibility was 63% (95%CI: 41%-86%). Conclusion There are still some problems in the disposal and management of loaner medical instruments and implants in Chinese hospitals, such as low implementation rate of special post responsibility system, inadequate training of professionals, low implementation rate of cleaning and disinfection in CSSD after operation, and correct sterilization procedures and parameters are not provided by some manufacturers. It is still necessary to standardize the disposal and management system, refine the disposal process and quality control details, and strengthen professional training.

    参考文献
    相似文献
引用本文

崔倩,李漫春,詹朦,等.2008—2021年医院CSSD外来医疗器械及植入物管理现状Meta分析[J]. 中国感染控制杂志,2022,(5):430-438. DOI:10.12138/j. issn.1671-9638.20221994.
Qian CUI, Man-chun LI, Meng ZHAN, et al. Current management status of loaner medical instruments and implants in hospital central sterile supply department from 2008 to 2021: a Meta-analysis[J]. Chin J Infect Control, 2022,(5):430-438. DOI:10.12138/j. issn.1671-9638.20221994.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-10-13
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2024-04-28
  • 出版日期: