扩阴器不同清洗消毒方法和流程改进的效果评价

周亚春 缪锡芬

【摘 要】目的：探讨本院消毒供應中心对扩阴器采用不同清洗消毒方法和流程改进的效果。方法：将2019年9月1日至2019年9月10日本院计生科人流包、上环包、妇科清宫包内扩阴器240只，随机均分成A、B、C三组，每组80只。A组采用常规多酶浸泡手工刷洗联合全自动清洗消毒器清洗消毒，B组采用95%乙醇擦洗多酶浸泡联合全自动清洗消毒器清洗消毒，C组采用碱性还原电位水刷洗联合全自动清洗消毒器清洗消毒。应用目测法、白纱布擦拭法、蛋白残留测试对比三组扩阴器清洗消毒效果和质量。结果：三组清洗效果均符合院感要求，C组目测法、白纱布擦拭法、蛋白残留测试检测值各项均显著优于A组、B组，差异均有统计学意义（P<0.05）。结论：用碱性还原电位水刷洗联合全自动清洗消毒器清洗消毒能有效去除扩阴器上的分泌物残留及碘伏，白纱布检测无污渍，切实可行。

【关键词】扩阴器;全效多酶清洗液;95%乙醇;碱性还原电位水;清洗质量

[Abstract] Objective：To explore the effect of different cleaning and disinfection methods and process improvement on the diffuser in our hospital disinfection supply center. Methods： From September 01 to 10， 2019， the Family Planning Department's flow package， the upper ring package， and the gynecological Qing Palace package 240 were randomly divided into three groups： A， B， and C， with 80 in each group. Group A was cleaned and disinfected by conventional multi-enzyme soaking manual scrubbing combined with automatic cleaning and sterilizing machine. Group B was cleaned and disinfected by 95% alcohol scrubbing multi-enzyme soaking combined with automatic cleaning and disinfecting device. Group C was treated with alkaline reducing potential water brushing and automatic cleaning. The sterilizer is cleaned and disinfected. The visual inspection method， the white gauze wiping method and the protein residue test were compared to the cleaning and disinfection effects and quality of the three sets of diffuser. Results： The cleaning effects of the three groups were in line with the hospitality requirements. The visual values of the C group， the white gauze wiping method and the protein residue test were significantly better than the A group and the B group， and the differences were statistically significant （P<0.05）. Conclusion： The alkaline reduction potential water brushing combined with the automatic cleaning and disinfecting device can effectively remove the secretion residue and iodophor on the diffuser. The white gauze is free from stains and is feasible.

[Key words]Diffuser; Full-effect multi-enzyme cleaning solution; 95% alcohol; Alkaline reduction potential water; Cleaning quality

计生科人流包、上环包及妇科清宫包内的扩阴器因在使用过程中接触了大量的碘伏，回收后采用常规的多酶浸泡、手工刷洗联合全自动清洗消毒器清洗消毒，其清洗消毒效果不尽如人意[1-2]。本消毒供应中心不断查找原因，在清洗质量检测中发现白纱布上有黄色污渍，系碘伏残留于扩阴器上所致，因此采用了95%乙醇擦洗多酶浸泡扩阴器联合全自动清洗消毒器清洗消毒，取得了明显的效果，可在波洱蛋白残留检测中出现阳性反应，试着采用了碱性还原电位水浸泡刷洗再联合全自动清洗消毒器清洗消毒，未曾想起到了意想不到的效果，经过反复使用对比和质量检测，对清洗流程进行科学改进，规范主客观检测指标，达到了理想的清洗消毒效果，现将相关资料报告如下。

1 材料与方法

1.1 材料

扩阴器240只;强效多酶清洗液（3M公司）;95%乙醇（兴化市医疗卫生用品有限公司）;碱性还原电位水;清洗刷（长恒县）;白纱布（江阴市医疗厂）。