中国感染控制杂志2019，Vol.18Issue(3)：253-256,4.DOI:10.12138/j.issn.1671-9638.20193960
不同清洗方法对可重复使用腹腔镜器械清洗质量的观察
Cleaning quality of different cleaning methods for reusable laparoscopic instruments
摘要
Abstract
Objective To evaluate the cleaning quality of different cleaning methods for laparoscopic instruments, ensure the cleaning quality of instruments.Methods The used laparoscopic instruments were classified into two categories: non-lumen instruments and lumen instruments. Three cleaning methods, traditional manual cleaning (A), manual cleaning + ultrasonic cleaning (B), manual cleaning + automatic cleaning disinfector (C), were adopted respectively for treating instruments. Cleaning quality of instruments were detected with ATP bioluminescence assay.Results The qualified rates of laparoscopic non-lumen instruments cleaned by methods A, B, and C were 78.75％, 95.71％, and 96.00％ respectively, difference was significant (χ2=16.453, P＜0.001);qualified rate of methods B and C for cleaning non-lumen instruments was higher than that of method A (P＜0.016), there was no significant difference between methods B and C (P＞0.016). Qualified rates of laparoscopic lumen instruments cleaned by methods A, B, and C were 76.47％, 98.75％, and 91.55％ respectively, difference was significant (χ2=21.087, P＜0.001); qualified rates of methods B and C for cleaning lumen instruments were both higher than that of method A (P＜0.016), there was no significant difference between methods B and C (P＞0.016). Conclusion Effect of manual cleaning + ultrasonic cleaning and manual cleaning + automatic cleaning disinfector on used laparoscopic instruments are both better than that of traditional manual cleaning method, can effectively guarantee the cleaning quality of instruments and help to ensure the operation safety of patients.关键词
腹腔镜/医疗器械/非管腔器械/管腔器械/清洗方法/清洗质量/医院感染Key words
laparoscopy/medical instrument/non-lumen instrument/lumen instrument/cleaning method/cleaning quality/healthcare-associated infection分类
医药卫生引用本文复制引用
王清妍,孙建玲,逄丽华..不同清洗方法对可重复使用腹腔镜器械清洗质量的观察[J].中国感染控制杂志,2019,18(3):253-256,4.基金项目
青岛市医药科研指导计划项目(2015-WJZD080) （2015-WJZD080）
