Latest Issue
      Issue 2 ， 2022

        REVIEW ARTICLES

      • Jinchen Wang,Jingyi Lv,Han Jiang,Wei Shao
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.01
        Abstract：ObjectiveTo provide scientific guidance on terminal disinfection and disinfection effect evaluation in designated hospitals in China for novel coronavirus pneumonia (COVID-19).MethodsApplying the case study method and taking Nanjing Public Health Medical Center as the object, this paper discribed the practice of terminal disinfection and effect evaluation in the designated hospitals of COVID-19 from the aspects of "hospital infection logistics support and disinfection implementation". According to the implementation plan, terminal disinfection, disinfection effect evaluation, and hygienic tests of centralized air conditioning were carried out in Buildings B and C of Nanjing Public Health Medical Center.ResultsThe disinfection effect evaluation results of Buildings B and C of Nanjing Public Health Medical Center showed that, the killing rate of indicated microorganisms and natural bacteria in the air have all reached the standards. The hygienic test results of the central air conditioning showed that, the amounts of dust, bacteria, fungi and β‍-hemolytic streptococcus have all reached the standards.ConclusionThis implementation plan can effectively guide the terminal disinfection work of designated hospitals, ensure that the designated hospitals of COVID-19 complete the terminal disinfection work in high quality, and restore the normal diagnosis and treatment order as soon as possible.  
        Keywords：Novel coronavirus;Terminal disinfection;Disinfection effect evaluation   
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        Published：2023-02-22

        TECHNOLOGICAL INNOVATION

      • Chuanli Yu,Si Chen,Xiqiong Ding,Juan Zhu,Shiyu Yin,Yu Liu
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.02
        Abstract：ObjectiveBased on RFID technology and computer programming, this study attempts to build an information management system for final sterilized textile packaging materials in the Central Sterile Supply Department (CSSD), which can control the process comprehensively and achieve the goal of quality traceability and information management.MethodsThe information management system for finally sterilized textile packaging materials was built and used to accomplish the desired functions through the process of information collection, mobile uploading and centralized management in the cloud based on the windows operating system, and system functions are expected to be achieved gradually.ResultsThis information management system shows stability and operability by test run, which achieves the expected effect, making the synchronization of different networks under the non-physical link of internal and external network data possible.ConclusionThe results provide robust implications that the application of finally sterilized textile packaging materials using RFID technology can realize intelligent counting in CSSD, making it possible to trace the quality and information management throughout the cleaning and disinfection process, thus ensuring the quality of the sterile packaging; besides, it enhances cost analysis and control ability of CSSD and improves management efficiency of finally sterilized textile packaging materials in clinical departments and operating rooms. It is of great significance to control infection, safeguard the safety of patients, and guarantee the overall quality of hospital services.  
        Keywords：RFID technology;Finally sterilized textile packaging materials;Information management;Central Sterile Supply Department (CSSD);Network data synchronization   
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        Published：2023-02-22
      • Yunyu Jin,Sainan Chang,Lili Zhu,Jiaqiang Wang
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.03
        Abstract：ObjectiveThis paper explores the waste heat recovery and reuse technology of condensate in disinfection supply center.MethodsThrough theoretical analysis and practical comparison, the recovery of equipment drainage and steam condensate was quantitatively analyzed. According to the actual layout of hospital buildings, the recovery schemes of condensate cooling season and heating season were designed.ResultsThe waste heat recovered from condensate provides sanitary hot water, and the make-up water is heated to 60 °C at 20 °C. The recovered heat is 185.8 kW, the refrigeration capacity of chilled water is 38.5 kW, and the heating.ConclusionCapacity of heating circulating water is 93.5 kW. The total annual economic benefit can reach 620000 yuan, and the coal consumption can be saved 288 t/year.  
        Keywords：Steam condensate;Equipment energy consumption;Condensate recovery;Thermal economic benefits   
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        Published：2023-02-22

        MONOGRAPHIC STUDY

      • Meifeng Liu,Suying Lin,Hongmei Zhu,Dan Liu,Jinfang Xu,Suzhen Sun
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.04
        Abstract：ObjectiveTo explore effective methods for the first cleaning of metal precision surgical instruments and evaluate the effect to improve the quality of cleaning.MethodsThe 184 newly purchased precision surgical instruments used in departments including Otolaryngology, Thoracic surgery and Orthopedics were selected and divided into two groups. 94 pieces in the control group were treated in the method of soaking in the alkaline detergent with a ratio of 1:100 and a temperature of 60-80 °C for 10 minutes+mechanical cleaning (alkaline detergent program); 90 pieces in the observation group were treated in the method of soaking in the alkaline detergent with a ratio of 1∶100 and a temperature of 60-80 °C for 10 minutes and then manual cleaning+mechanical cleaning (alkaline detergent program). After cleaning the instruments in both groups, the quality of the lumen instruments was checked by methods of visual inspection, illuminated magnifier, white gauze, and white strip. The sterilization packages were also opened again after autoclave sterilization to evaluate the oily waste degradation.ResultsThe pass rates of visual inspection and illuminated magnifier, white gauze and white strip, visual inspection and illuminated magnifier after sterilization, and white gauze and white strip after sterilization in observation group were significantly higher than those of control group (100.00% vs. 94.68%, 98.89% vs. 92.55%, 98.89% vs. 90.43%, 100.00% vs. 91.49%, respectively, P<0.05).ConclusionTo ensure cleaning quality, metal precision surgical instruments should be correctly cleaned before the first use. The method of soaking in alkaline detergent for 10 minutes+manual cleaning+mechanical cleaning (alkaline detergent program) can significantly improve the cleaning quality.  
        Keywords：Precision instruments;First cleaning;Cleaning method;Effect evaluation   
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        Published：2023-02-22
      • Hongming Wu,Jing Zhang,You Zhang,Jian Ye
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.05
        Abstract：ObjectiveTo explore the application and effect analysis of lean management model in orthopedic implant cleaning.MethodsA total of 3465 orthopedic implants in our hospital's exotic medical device package from January to June 2021 were selected, and a total of 1800 orthopedic implants before the implementation of the lean management model from January to March 2021 were used as the control group, and a total of 1665 orthopedic implants after the implementation of the lean management model from April to June 2021 were used as the observation group. The control group was managed conventionally, while the observation group implemented the lean management model based on the control group. The cleaning quality and clinical use satisfaction of the orthopedic implants in the two groups were compared by daily monitoring and ATP fluorescence testing. Results The cleaning pass rate of orthopedic implants in the observation group was 97.67%, higher than that of the control group (92.5%), the difference was statistically significant (P<0.05); the clinical use satisfaction rate of the observation group was 100%, higher than that of the control group (84.2%), the difference was statistically significant (P<0.05).ConclusionThe application of lean management mode can effectively improve the cleaning quality and clinical use satisfaction of orthopedic implants, and is worthy of clinical promotion and application.  
        Keywords：Orthopedic implants;cleaning;Lean management model;cleaning quality;Satisfaction   
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        Published：2023-02-22
      • Qian Huang,Honggeng Wang,Donghong Huang,Xiaolu Zhang,Xiaocong Lin,Huiling Chen,Xiuqin Ni
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.06
        Abstract：ObjectiveTo analyze the barrier function and bacterial penetration of different medical packaging materials in surgical instruments in order to reduce the risk of infection.MethodsFrom January to December 2020, the clean operating room of the Second Affiliated Hospital of Fujian Medical University used cotton cloth medical packaging and new reusable long fiber polyester cloth as the research objects. The bacteria penetration experiment (Bacillus subtilis) was conducted under dry and wet conditions respectively, and the impermeability of the two types of medical packaging materials was compared.ResultsThere were bacteria growth on the cotton cloth culture medium plate, and the test bacteria penetrated the sample piece; no bacteria grew on the long fiber polyester cloth culture medium plate, indicating that the test bacteria could not penetrate the sample. Under dry conditions, the total bacterial count of cotton cloth was significantly higher than that of long fiber polyester cloth, and the water permeability was higher. The difference was statistically significant (P<0.01).ConclusionLong fiber polyester cloth has strong barrier function in both dry and wet conditions, low bacterial penetration, high water permeability, and can be used repeatedly.  
        Keywords：Medical packaging;surgical instruments;Barrier function;Bacterial penetration   
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        Published：2023-02-22
      • Yanhua Wang,Mingxiang Zheng
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.07
        Abstract：ObjectiveTo explore the lumen sterilization challenge device in three types of hydrogen peroxide low-temperature plasma sterilization effect further improve the low-temperature plasma sterilization device qualified rate.MethodsIn November 2021-May 2022, CSSD in our hydrogen peroxide plasma five card sterilization challenge device respectively in three types of low temperature plasma sterilization device exhaust vent positions, for different internal diameters, different lengths, different materials of medical metal and non-metal cavity instruments in three types of different cycle program instrument sterilization effect.ResultsThe hydrogen peroxide plasma class 5 card sterilization challenge device is placed at the exhaust port of STERRAD NX sterilization device, with standard cycle and high sterilization qualification rate (P>0.05) with internal diameter of 1mm; only compatible with the advanced circulation of the machine, with low sterilization qualification rate. Hydrogen peroxide plasma type 5 card sterilization challenge device is placed at the STERRAD 100 S sterilizer vent, Short cycles and long cycles for common metallic nonmetallic medical devices, High sterilization qualified rate, No sterilization effect (P>0.05); For the inner diameter of 0.7 mm, Low short cycle sterilization rate of 500 mm, High qualified rate of long-cycle sterilization, The sterilization effect was statistically different (P<0.01); The inner diameter is 1mm, A length of 850 mm single channel or no lumen soft mirror is only compatible with the advanced cycle of the machine, High qualified rate of sterilization. Hydrogen peroxide plasma type 5 card sterilization challenge device is placed at the STERRAD 100NX sterilization device outlet, the standard cycle for common metal non-metallic medical devices and internal diameter of 0.7 mm, length of 500 mm stainless steel medical lumen sterilization qualified rate; internal diameter of 1mm, length of 850 mm single channel or no cavity soft mirror can only be compatible with the soft mirror cycle of the machine, the sterilization qualified rate is also high.ConclusionSTERRAD NX standard cycle sterilized common metal and non-metallic medical devices with high qualified rate; STERRAD 100S short cycle sterilized common metal and non-metallic medical devices with 0.7 mm and 500 mm Stainless steel medical lumen and internal diameter 1mm, length 850 mm, STERRAD 100NX standard cycle for common metal non-metallic medical instruments and internal diameter 0.7 mm, length 500 mm, and 500 mm, soft mirror cycle for internal diameter 1mm, length 850 mm single channel or without sterilization, sterilization qualified rate.  
        Keywords：Hydrogen peroxide plasma class five card sterilization challenge device;Johnson STERRAD hydrogen peroxide low-temperature sterilizer;Sterilization effect research   
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        Published：2023-02-22

        EXPERIENCE EXCHANGE

      • Han Xiang,Ruping Zhang,Jing Lou
        Vol. 1, Issue 2, (2022) DOI: 10.11910/j.issn.2791-2043.2022.2.08
        Abstract：ObjectiveTo analyze the application effect of tracking methodology combined with failure mode and effect analysis in nursing management of disinfection supply centers.MethodsThe disinfection supply center of the hospital adopted routine nursing management from January to December 2020, and 1000 sterilization wraps were randomly sampled as the control group. From January to December 2021, the tracking methodology combined with failure mode and effect analysis in nursing management was adopted, and 1000 sterilization wraps were randomly sampled as the observation group. The RPN value, pass rate of sampling, adverse events, the work quality of the staff in the disinfection supply center, and the satisfaction of hospital medical staff were compared between the two groups.ResultsAll RPN values and the total incidence of adverse events in the observation group were lower than those in the control group. The protection, cleaning, sterilization, qualified rate of packaging, work quality score and satisfaction of hospital medical staff in the observation group were higher than those in the control group with significant differences (p<0.05).ConclusionThe application of tracking methodology combined with failure mode and effect analysis in the nursing management of disinfection supply center can improve the quality of work and the qualified rate of work to reduce the incidence of adverse events and further promote the satisfaction of medical staff.  
        Keywords：Disinfection supply center;Routine nursing management;Tracking methodology;Failure mode and effect analysis   
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        Published：2023-02-22
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