Central Sterile Supply Department, Yan An Hospital of Kunming City, Kunming, Yunnan, 650000, China
Mingchun Yang
纸质出版:2024-08-15
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Xiaojia Li, Mingchun Yang, Jianrui Yang, 等. Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer[J]. 消毒供应, 2024,3(2):62-66.
Li Xiaojia,Yang Mingchun,Yang Jianrui,et al.Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer[J].Sterile Supply,2024,03(02):62-66.
Xiaojia Li, Mingchun Yang, Jianrui Yang, 等. Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer[J]. 消毒供应, 2024,3(2):62-66. DOI: 10.11910/j.issn.2791-2043.2024.2.02.
Li Xiaojia,Yang Mingchun,Yang Jianrui,et al.Monitoring and analysis of the cleaning effect of spinal surgical instruments by visual track viewer[J].Sterile Supply,2024,03(02):62-66. DOI: 10.11910/j.issn.2791-2043.2024.2.02.
Objective
2
The present study aims to detect the inner wall cleanliness of spinal luminal instruments with visual track viewer
and to analyze the difficulties of spinal surgical instruments cleaning
so as to improve and perfect the cleaning quality.
Methods
2
226 luminal spinal instruments were selected. The luminal cleaning quality of instruments after mechanical cleaning and manual cleaning plus mechanical cleaning were examined by visual track viewer
and the results were statistically analyzed.
Results
2
In the control group
113 instruments were cleaned by mechanical cleaning. The clearance rate was 90.26% for bloodstain
78.76% for stain
72.57% for foreign body
and 85.84% for tissue residue. In the experimental group after manual cleaning and mechanical cleaning
the clearance rate of bloodstain was 100%
stain was 96.46%
foreign body was 92.03%
tissue residue was 100%. The pollutant clearance rate of experimental group was significantly higher than that of control group (
P
<
0.05).
Conclusion
2
The structure of spinal surgical instruments is complex
and they are difficult to clean. The use of visual track viewer can clearly detect the inner wall of the lumen
find out the cleaning difficulties
check the cleaning quality
and effectively ensure the safety of surgical instruments.
M. J. Alfa , “ Medical instrument reprocessing: current issues with cleaning and cleaning monitoring ,” American Journal of Infection Control , vol. 47 , pp. A10-A16, 2019.
Y. Yuan and Z.H. Liu , “ Study on the heating delay of steam sterilization of loaner instruments with different pulsations ,” Chinese Journal of Disinfection , vol. 37 , pp. 428 - 430 , 2020 .
T. C. Liu , Peng C. L. , H. P. Wang et al. , “ SpyGlass application for duodenoscope working channel inspection: Impact on the microbiological surveillance ,” World Journal of Gastroenterology , vol. 26 , no. 26 , pp. 3767 - 3779 , Jul. 2020 .
S. de Souza Evangelista , N. R. Guimaraes , N. B. Garcia et al. , “ Effectiveness of manual versus automated cleaning on Staphylococcus epidermidis biofilm removal from the surface of surgical instruments ,” American Journal of Infection Control , vol. 48 , no. 3 , pp. 267 - 274 , Mar. 2020 .
W. Zhou , C. Ye , X. Huang et al. , “ Efficacy of cleaning methods for ophthalmic microscopic instruments: a comparison study ,” AORN Journal , vol. 112 , no. 2 , pp. 112 - 121 , Aug. 2020 .
Y. Huang , Y. Huang , Y. Chen et al. , “ Factors affecting implementation and pass rates of surgical instrument moistening ,” BMC Infectious Diseases , vol. 21 , no. 1 , p. 752 , 2021 .
World Health Organisation . Decontamination and reprocessing of medical devices for health-care facilities [EB/OL ] . [ 2022-03-10 ] .
W. Zhang , P.Q. Yan , Y.L. Wang et al. , “ Evaluation of the cleaning effects of different cleaning methods on luminal instruments by using borescope inspection method ,” China Medical Equipment , vol. 18 , pp. 47 - 51 , 2021 .
C. H. Kowalski , K. A. Morelli , D. Schultz et al. , “ Fungal biofilm architecture produces hypoxic microenvironments that drive antifungal resistance ,” Proceedings of the National Academy of Sciences of the United States of America , vol. 117 , no. 36 , pp. 22473 - 22483 , Sep 2020.
J.W. Wu , Y. Cao , C.Y. Yang et al. , “ Comparison of different detection methods on clean effects of lumen instrument ,” China Medical Equipment , vol. 16 , pp. 157 - 160 , 2019 .
C. L. Ofstead and K. M. Hopkins , “ Sterilization central: the value of borescopes in detecting damage , soil, fluid, and foreign objects in flexible endoscopes,” Biomedical Instrumentation & Technology, vol. 54 , no. 2 , pp. 146 - 152 , Mar. 2020 .
H. Zhou , Q.F. Shi , X.D. Gao et al. , “ Evaluation of cleaning effect of loaner luminal surgical instruments by endoscopic lumen visual inspection system ,” Chinese Journal of Infection Control , vol. 21 , pp. 656 - 660 , 2022 .
C.R. Lin , Y.Q. Jiang and Y.L. Yang , “ Effect comparison between two cleaning methods of endoscopic equipment ,” Journal of Nursing Science , vol. 32 , pp. 48 - 49 , 64, 2017.
A.Q. Li , H.T. Li , N. Li et al. , “ Application of the visual trail viewer combined with ATP biofluorescence assay in the quality control of laparoscopic instrument cleaning ,” Chinese Journal of Nosocomiology , vol. 33 , pp. 1277 - 1280 , 2023 .
Y.W. Qiu and J.J. Shi , “ Research progress on monitoring methods of cleaning effect of reusable instruments ,” Chinese Journal of Disinfection , vol. 35 , pp. 781 - 783 , 2018 .
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