消毒供应室手术室器械的一体化处理对医院感染的影响

摘要：目的  分析消毒供應室对手术室器械采用一体化处理的效果及对医院感染的影响。方法  选择2017年1～12月我院消毒供应室采用传统手术器械清洗消毒方法作为对照组，选取2019年1～12月医院消毒供应室实行手术器械一体化处理方案作为观察组，比较一体化处理实施前后手术器械的清洗消毒效果、临床医生满意度及医院感染发生率。结果  实验组器械的清洗合格率（97.00%）、蛋白质残留测试清洁合格率（98.00%）及临床医生满意度（98.00%）高于对照组的83.00%、77.00%、9.60%，差异有统计学意义（P<0.05）;实验组医院感染发生率（3.70%）低于对照组（9.60%），差异有统计学意义（P<0.05）。结论  消毒供应室开展手术室器械一体化处理可有效提高手术器械的清洗消毒质量及灭菌合格率，同时提高临床医生对消毒供应工作的满意度，有效控制了医院感染的发生。

关键词：消毒供应室;手术器械;一体化处理;医院感染

中图分类号：R197                                   文献标识码：A                                 DOI：10.3969/j.issn.1006-1959.2020.14.025

文章编号：1006-1959（2020）14-0089-03

Influence of Integrated Treatment of Operating Room Equipment

in Disinfection Supply Room on Hospital Infection

ZHANG Bao-ying

（Department of Infection，Subject Two，Tianjin Second People's Hospital，Tianjin 300192，China）

Abstract：Objective  To analyze the effect of the integrated treatment of instruments in the operating room and the impact on hospital infection in the disinfection supply room.Methods  From January to December 2017， the disinfection and supply room of our hospital used the traditional surgical instrument cleaning and disinfection method as the control group. From January to December 2019， the hospital disinfection and supply room was selected as the observation group， and the integrated treatment plan was compared. The cleaning and disinfection effect of surgical instruments before and after implementation， the satisfaction of clinicians and the incidence of hospital infection.Results  The equipment cleaning pass rate （97.00%）， protein residue test cleaning pass rate （98.00%）and clinician satisfaction （98.00%） of the experimental group were higher than the control groups 83.00%， 77.00%， 9.60%， the difference was statistically significant （P<0.05）; the incidence of nosocomial infection in the experimental group （3.70%） was lower than that in the control group （9.60%）， the difference was statistically significant （P<0.05）.Conclusion  The integrated treatment of operating room instruments in the disinfection supply room can effectively improve the cleaning and disinfection quality and sterilization qualification rate of surgical instruments. At the same time， it can improve the satisfaction of clinicians with disinfection supply work and effectively control the occurrence of hospital infections.

在以往临床工作中，大部分手术器械的清洗、消毒以及包装工作均是由手术室护士负责，最后直接送到消毒供应室进行消毒灭菌。这种形式处理的手术器械消毒质量常常不符合要求标准，是造成院内感染的安全隐患。并且以往手术器械的分散式管理存在管理制度不健全、清洗流程不规范、缺乏质量控制及完善的灭菌监测体系等诸多问题[10]。通过建立消毒供应室手术室器械一体化处理模式，使手术室内护士非护理性工作大量减少，为手术室护士节约更多的时间以忙于其围手术期本职工作[11]。同时，降低了分散处理器械对工作人员的意外伤害，充分利用消毒供应室先进的消毒灭菌设备，增加手术器械使用的安全性和管理的规范性，降低医院感染发生率，提高医疗质量管理水平[12]。

本院消毒供应室自实施手术室器械一体化处理之后，工作效率及器械清洗消毒质量得以显著提升。……