传统清洗筐与新型特制清洗筐清洗效果比较

Comparison of cleaning effectiveness between traditional cleaning basket and new custom-made cleaning basket

  • 摘要:
    目的  比较消毒供应中心传统清洗筐与新型特制清洗筐对器械盘清洗消毒效果的影响。
    方法  根据实际工作需要, 结合喷淋清洗机操作流程, 设计和改良传统器械清洗筐成为带筛网清洗筐。收集解放军总医院第一医学中心消毒供应中心2024年3月的600件污染器械盘。随机分为实验组和对照组, 实验组采用带筛网的新型特制清洗筐进行清洗消毒, 对照组采用传统清洗筐进行清洗消毒方法。采用目测法、光源放大镜法及ATP生物荧光检测法, 对器械盘表面、内角、边缘凹槽处进行对比, 检测不同清洗筐对器械盘清洗效果影响。
    结果  ATP生物荧光剂检测结果显示, 新型特制清洗筐清洗质量优于传统清洗筐清洗质量(P<0.05)。ATP生物荧光检测法实验组表面清洗合格率(91.33%)、内角清洗合格率(89.00%)、边缘凹槽合格率(86.33%)高于对照组, 有统计学差异(P<0.05)。
    结论  相比传统清洗筐清洗效果, 新型特制清洗筐能够显著提高器械盘清洗质量, 从而显著提高其清洗质量合格率, 提高工作效率。

     

    Abstract:
    OBJECTIVE  To compare the effects of traditional and new-fashioned custom-made cleaning baskets on the cleaning and disinfection of instrument tray in central sterile supply department.
    METHODS  According to the actual needs and the operating procedures of spray cleaning machine, the traditional instrument cleaning basket was improved to be custom-made basket with screen. Totally 600 contaminated instrument trays from the Disinfection Supply Center in the First Medical Center of the PLA General Hospital in Mar. 2024 were collected and randomly divided into the study group for custom-made cleaning basket with screen and the control group for the traditional cleaning basket. Visual inspection, light source magnifying glass and ATP bioluminescence detection methods were used to detect and compare the cleanliness of the surfaces, inner corners and edge grooves of the instrument trays of two groups.
    RESULTS  ATP bioluminescence detection showed that the cleaning effect of the new cleaning basket was better than that of the traditional basket (P < 0.05); the pass rate of surface (91.33%), inner corner (89.00%) and edge groove (86.33%) in the study group were higher than those in the control group (P < 0.05).
    CONCLUSION  Compared with the traditional cleaning basket, the new special basket can significantly improve the cleaning effect and the pass rate, to raise the work efficiency.

     

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