Aiqun Zhu, Xianyang Liu. Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China[J]. 消毒供应, 2024,3(3):142-146.
Zhu Aiqun,Liu Xianyang.Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China[J].Sterile Supply,2024,03(03):142-146.
Aiqun Zhu, Xianyang Liu. Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China[J]. 消毒供应, 2024,3(3):142-146. DOI: 10.11910/j.issn.2791-2043.2024.3.05.
Zhu Aiqun,Liu Xianyang.Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China[J].Sterile Supply,2024,03(03):142-146. DOI: 10.11910/j.issn.2791-2043.2024.3.05.
Investigation on the current status of cleaning and disinfection management of flexible endoscopes in medical institutions in Xianyang city, China
This study investigates the current status of cleaning and disinfection management of flexible endoscopes in secondary medical institutions and above with central sterile supply departments (CSSDs) in Xianyang City
Shaanxi Province
China.
Methods
2
A questionnaire was conducted in 21 medical institutions in Xianyang City regarding personnel training
equipment configuration
bedside pretreatment
leak test
cleaning
drying
disinfection
transportation
storage
management
disinfectant usage
quality monitoring
and machine operation of endoscopes.
Results
2
Among these medical institutions
7 are class A tertiary hospitals
and 14 are class A secondary hospitals; 19 (90.48%) have standard endoscopic cleaning and disinfection stations
and 2 (9.52%) do not; 13 (61.9%) adopt manual cleaning and disinfection
1 (4.76%) adopts mechanical cleaning and disinfection
and 7 (33.33%) adopt both; 7 (33.33%) have endoscopic cleaning and disinfection machine(s)
and 14 (66.67%) do not. Drying is performed for each endoscope in 53.38% of the institutions by perfusing lumens with 75% to 95% ethanol or isopropyl alcohol. Drying is conducted intensively after daily consultation in 47.62% of the institutions.
Conclusion
2
All hospitals comply with the basic requirements of standard cleaning and disinfection. However
they have different equipment configurations
training
and assessment. Therefore
these medical institutions shall improve professional competence by continuous training according to standards so that endoscopic cleaning and disinfection are qualified
and the incidence of nosocomial infection is minimized.
关键词
Keywords
references
Y.N. Li and X.H. Lu , Digestive endoscopy . 2nd ed . Beijing : Science Press , 2004 .
L.R. Shen , Q. Li and B.Z. Li , “ Investigation on status of gastrointestinal endoscope disinfection of 170 hospitals in Shaanxi Province ,” Chinese Journal of Disinfection, vol. 34 , pp. 1129 - 1131 , 2017.
H. Cheng , X.Y. Mao and J.S. Sun , “ Research progress of linked color imaging in endoscopic diagnosis of lower digestive tract diseases ,” Chinese Journal of Gastroenterology , vol. 26 , pp. 433 - 437 , 2021 .
Yang F , Yang Q , Ye LL , et al . Current status of cleaning and disinfection of flexible digestive endoscopes in a hospital of Shaoxing from 2019 to 2021 [J ] . Chinese Journal of Nosocomiology . 2023 , 33 ( 17 ): 2716 - 2720 .
Liu WP , He H , Yang YF , et al . Current status of soft endoscopic biofilms in 24 hospitals in Inner Mongolia Autonomous Region [J ] . Chinese Journal of Disinfection . 2020 , 37 ( 7 ): 3 .
Y. C. Chen , H. M. Huang , P. Y. Lin et al. , “ Comparing visual inspection and performance observation for evaluation of hospital cleanliness ,” American Journal of Infection Control , vol. 49 , no. 12 , pp. 1511 - 1514 , 2021 .
M. Heuvelmans , H. F. Wunderink , H. C. van der Mei et al. , “ A narrative review on current duodenoscope reprocessing techniques and novel developments ,” Antimicrobial Resistance and Infection Control , vol. 10 , no. 1 , p. 171 , Dec2021.
S. Larsen , R. V. Russell , L. K. Ockert et al. , “ Rate and impact of duodenoscope contamination: a systematic review and meta-analysis ,” EClinicalMedicine , vol. 25 , p. 100451 , 2020 .
Zhang LH , Chen XR , Yin XH , et al . Risk factors of endoscopic nosocomial infections and the effect of different cleaning and disinfection methods on sterilization [J ] . Chinese Journal of Nosocomiology . 2017 , 27 ( 24 ): 5715 - 5718 .
J. A. Kwakman , N. S. Erler , M. C. Vos et al. , “ Risk evaluation of duodenoscope-associated infections in the Netherlands calls for a heightened awareness of device-related infections: a systematic review ,” Endoscopy , vol. 54 , no. 2 , pp. 148 - 155 , 2022 .
Shi RC , et al . Observation on disinfection efficacy of digestive endoscopy and infection prevention effect of improved cleaning disinfection process [J ] . Chinese Journal of Disinfection . 2015 ( 4 ): 3 .
Zhao PF , Zhang HM , Ma ZJ , et al . Effect of endoscopic cleaning and disinfection process improvement to reduce the incidence of hospital infections [J ] . Chinese Journal of Nosocomiology . 2016 , 26 ( 16 ): 3827 - 3829 .
W. A. Rutala , H. Kanamori , E. E. Sickbert-Bennett et al. , “What’s new in reprocessing endoscopes : Are we going to ensure “the needs of the patient come first” by shifting from disinfection to sterilization?” American Journal of Infection Control , vol. 47 , pp. A62 - A66 , 2019 .
H. Tian , J. Sun , S. Guo et al. , “ The effectiveness of drying on residual droplets , microorganisms, and biofilms in gastrointestinal endoscope reprocessing: a systematic review ,” Gastroenterology Research and Practice, vol. 2021 , p. 6615357 , Apr2021.
N. Omidbakhsh , S. Manohar , R. Vu et al. , “ Flexible gastrointestinal endoscope processing challenges , current issues and future perspectives,” Journal of Hospital Infection, vol. 110 , pp. 133 - 138 , 2021 .
A. S. F. Chan , H. L. Y. Chan , B. K. L. Yan et al. , “ Effectiveness of adenosine triphosphate to monitor manual cleaning and disinfection efficacy of flexible endoscopes in Hong Kong,” JGH Open: an Open Access Journal of Gastroenterology and Hepatology , vol. 7 , no. 2 , pp. 141 - 147 , Jan2023.
The trial reading is over, you can activate your VIP account to continue reading.
A Cross-Sectional Survey on Management and Processing Practices for Loaner Surgical Instruments and Implants Among 861 Hospitals in China
Study on the effectiveness and compatibility of sterilization of flexible endoscopes using a low temperature steam formaldehyde sterilizer
相关作者
Juan Zhou
Dongling Liu
Caixia Yang
Yan Pan
Chunzi Cao
Ying Wang
Huanxi Zhang
Aihua Liu
相关机构
Central Sterile Supply Department I, Hunan Provincial People’ s Hospital (The First Affiliated Hospital of HunanNormal University), No. 61 Jiefang West Road, Changsha City
The People’s Hospital of Inner Mongolia Autonomous Region