火罐在消毒供应中心集中清洗消毒效果探讨
Effects of centralized management of cleaning and disinfection of cupping in the disinfection supply center
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摘要: 目的 探讨火罐在消毒供应中心集中清洗消毒的管理效果,为诊疗使用安全与方便提供保障。方法 2015年3月将190个治疗使用后的火罐随机分为试验组150个与对照组40个,对照组火罐采取科室分散消毒的管理方式,采用含氯消毒剂浸泡消毒后自然晾干备用,试验组火罐采取消毒供应中心集中清洗消毒的管理方式,采用全自动超声清洗机加低泡多酶清洗剂进行清洗、消毒、干燥处理,之后用一次性纸塑独立包装,应用高压蒸汽灭菌备用,每3天每组随机抽取5个火罐进行细菌培养,比较两组火罐在消毒后保存90 d内不同时间段细菌合格率。结果 对照组火罐第一天合格率为100.0%,第4天为80.0%,第7天为20.0%,从第10天开始合格率为0,细菌数>70 CFU/件;试验组火罐90天内经检查均无细菌生长,总合格率是100.0%,两组火罐的总合格率比较,实验组优于对照组,差异有统计学意义(P<0.05)。结论 火罐采取消毒供应中心规范化的集中供应管理方式,清洗消毒质量得到了可靠保证,有效降低了医院感染的隐患,延长保存时间,提高无菌保存率,也显著降低了人力成本,节约物力资源,更符合医院感染控制要求。Abstract: OBJECTIVE To explore the effects of centralized management of cleaning and disinfection of cupping in the disinfection supply center,so as to provide guarantee for safety and convenience of diagnosis and treatment.METHODS A total of 190 used cupping in Mar.2015 were randomly divided into experimental group(150cases)and control group(40cases).The cupping in control group was taken department dispersed disinfection management style,using chlorine disinfectant for immersion and disinfection,and natural drying.The cupping in experimental group was taken the centralized management style of cleaning and disinfection in the disinfection supply center,using automatic ultrasonic cleaning machine with low foam multiple enzyme detergent for cleaning,disinfection,and drying treatment.Then disposable paper-plastic packaging was used independently,and high pressure steam sterilization was applied.Five cupping in each group were randomly selected for bacterial culture every 3days,and the bacterial qualified rates the two groups of cupping at different time points within 90 dafter disinfection were compared.RESULTS The qualified rates of experimental group were 100%,80.0%,and 20.0% on the1 st,4th,7th day,and 0% after 10 days,and the bacterial count was>70CFU/piece.The bacteria were not detected in cupping of experimental group within 90 days,with the qualified rate of 100%.The qualified rate of experimental group was significantly higher than that of control group(P<0.05).CONCLUSION Using centralized management of cleaning and disinfection of cupping in the disinfection supply center can strengthen the disinfection effect,effectively reduce the hospital infection risks,prolong the storage time,improve the sterile retention rate,also can reduce labor costs,save material resources,so as to meet the requirements of hospital infection control.
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