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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

张新月 李占结 丁静 武大伟 陈双凤 靳苏香 王文龙 张永祥 陈文森 张卫红

中国感染控制杂志2025,Vol.24Issue(3):323-328,6.
中国感染控制杂志2025,Vol.24Issue(3):323-328,6.DOI:10.12138/j.issn.1671-9638.20255455

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

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

张新月 1李占结 2丁静 3武大伟 4陈双凤 5靳苏香 6王文龙 7张永祥 2陈文森 2张卫红2

作者信息

  • 1. 南京医科大学第一附属医院感染管理处,江苏南京 210029||南京明基医院医院感染管理办公室,江苏南京 210019
  • 2. 南京医科大学第一附属医院感染管理处,江苏南京 210029
  • 3. 南京医科大学第一附属医院内镜中心,江苏 南京 210029
  • 4. 连云港市第一人民医院感染管理科,江苏 连云港 222000
  • 5. 如东县人民医院感染管理科,江苏 南通 226400
  • 6. 南京医科大学第四附属医院感染管理科,江苏 南京 210031
  • 7. 思拓凡中国颇尔医疗产品部,上海 201203
  • 折叠

摘要

Abstract

Objective To study the effect and duration of point-of-use filters on the improvement of endoscopic fi-nal 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 ter-minal 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 wa-ter 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.

关键词

点过滤器/内镜/终末漂洗用水/微生物/持续时间

Key words

point-of-use filter/endoscope/final rinse water/microbial/duration

分类

预防医学

引用本文复制引用

张新月,李占结,丁静,武大伟,陈双凤,靳苏香,王文龙,张永祥,陈文森,张卫红..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):323-328,6.

基金项目

江苏省科协青年科技人才托举工程(卫生健康领域)(JSTJ-2023-WJ006) (卫生健康领域)

江苏省医院协会医院管理创新研究课题(JSY-GY-3-2023-559) (JSY-GY-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) (YNRCQN0314)

中国感染控制杂志

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