点过滤器对内镜终末漂洗用水质量的提升效果和持续时间
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R197.323.4

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江苏省科协青年科技人才托举工程(卫生健康领域)(JSTJ-2023-WJ006);江苏省医院协会医院管理创新研究课题(JSYGY-3-2023-559);江苏省人民医院第三期优秀中青年人才培养项目(YNRCQN0314)


Effectiveness and duration of point-of-use filter in improving endoscopic final rinse water quality
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    摘要:

    目的 研究点过滤器对内镜终末漂洗用水质量的提升效果和持续时间。方法 选取南京医科大学第一附属医院内镜中心胃镜手工清洗工作站终末漂洗用水端,安装水龙头终端点过滤器,在安装前、安装后即时、安装后1~11周分别连续采集5份终末漂洗用水标本,并在每次采样时询问清洗消毒工作人员出水流速是否可以满足工作需求;采用滤膜法将终末漂洗用水接种于R2A培养基,于30℃培养5 d后统计细菌数。结果 点过滤器安装前内镜终末漂洗用水的合格率为0,安装后即时和安装后1~9周终末漂洗用水的合格率均为100%, 安装后10、11周的合格率分别为80.0%、20.0%;点过滤器安装前内镜终末漂洗用水的单位菌落数中位数为102 CFU/100 mL, 安装后即时和安装后1~9周终末漂洗用水的单位菌落数中位数均≤2 CFU/100 mL,安装后10、11周的单位菌落数中位数分别为8、18 CFU/100 mL;安装前、安装后即时和安装后1~11周清洗消毒工作人员对出水流速的反馈表示会随着时间的延长相对逐渐减慢,但可以满足工作需求。结论 点过滤器可以快速有效提升内镜终末漂洗用水质量,持续使用时间在安装后9周内;其最大优势是可以作为所有综合措施的最后一道屏障,在前端任一环节出现问题时起到补位作用,最大程度保证终末漂洗用水的微生物质量。

    Abstract:

    Objective To study the effect and duration of point-of-use filters on the improvement of endoscopic final rinse water quality. Methods The final rinse water end at the gastroscope manual cleaning workstation in the Endoscopy Centre of the First Affiliated Hospital with Nanjing Medical University was selected to install a tap terminal filter; five specimens of final rinse water were collected consecutively before the installation, immediately after the installation, and 1-11 weeks after the installation. At each sampling time, the staff responsible for clea-ning and disinfecting were asked whether the flow rate of discharged water could satisfy the working demand; the final rinse water was inoculated on R2A culture medium with membrane filter method, bacterial colony forming unit (CFU) was calculated after 30℃ incubation for 5 days. Results The qualified rates of endoscopic final rinse water before point-of-use filter installation was 0, immediately after and 1-9 weeks after installation were both 100%, 10 and 11 weeks after installation were 80.0% and 20.0%, respectively. The mean CFU of endoscopic final rinse water before point-of-use filter installation was 102 CFU/100 mL, immediately after and 1-9 weeks after installation were both ≤2 CFU/100 mL, 10 and 11 weeks after installation were 8 and 18 CFU/100 mL, respectively. The feedback from the cleaning and disinfection staff before installation, immediately after installation, and 1-11 weeks after installation indicated that the flow rate of discharged water gradually slowed down over time, but could still meet the work requirements. Conclusion The point-of-use filter can quickly and effectively improve the quality of endoscopic final rinse water, with use duration of up to 9 weeks after installation; Its biggest advantage is that it can serve as the final barrier to all integrated measures, playing a supplementary role in case of any problems occu-rring in the front-end process, and ensuring the microbial quality of the final rinse water to the greatest extent possible.

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引用本文

张新月,丁静,武大伟,等.点过滤器对内镜终末漂洗用水质量的提升效果和持续时间[J]. 中国感染控制杂志,2025,24(3):323-328. DOI:10.12138/j. issn.1671-9638.20255455.
ZHANG Xinyue, DING Jing, WU Dawei, et al. Effectiveness and duration of point-of-use filter in improving endoscopic final rinse water quality[J]. Chin J Infect Control, 2025,24(3):323-328. DOI:10.12138/j. issn.1671-9638.20255455.

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  • 收稿日期:2024-09-05
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  • 在线发布日期: 2025-03-26
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