医用超声耦合剂与探头污染及其消毒现况调查

Contamination status of medical ultrasonic probes and coupling agents and survey of their disinfection status

  • 摘要: 目的 了解医用超声探头及耦合剂的污染情况,控制由污染引起的交叉感染,探索医用超声探头的快速消毒方法,为制定控制对策提供依据。方法 2021年7-9月,选择11所医疗机构28个超声室为研究对象。通过现场采样、实验室检测,对使用后体表超声探头表面、使用中耦合剂及其瓶口进行病原菌培养,比较使用后探头不同处理措施(常规法纸巾擦拭、纸巾擦拭+超声探头消毒器消毒、医用物表湿巾擦拭)的清洁消毒效果。结果 采集常规纸巾擦拭探头72份,细菌菌落数超标率为66.67%; 纸巾擦拭+超声探头消毒器消毒探头38份,细菌菌落总数合格率为84.21%; 使用医用物表湿巾擦拭探头30份,细菌菌落总数合格率为66.67%。使用纸巾擦拭+超声探头消毒器处理探头及医用物表湿巾擦拭探头同常规纸巾擦拭方式相比,对B超探头清洁消毒效果均具有统计学意义(P<0.001)。采集29份使用中的耦合剂,细菌总数超标率为58.62%,真菌总数超标率为78.95%。耦合剂瓶口细菌菌落数范围为10~1.66×104 CFU/罐、真菌菌落数范围为0~3.66×104 CFU/罐。结论 医用超声探头及耦合剂细菌及真菌超标严重,存在医院内感染的风险,纸巾擦拭+超声探头消毒器和医用物表湿巾擦拭是一种适宜B超探头表面快速清洁消毒的方法。

     

    Abstract: OBJECTIVE To understand the contamination status of medical ultrasonic probes and coupling agents, control cross-infections caused by contamination, explore rapid disinfection methods for medical ultrasonic probes, and provide a basis for formulating control strategies. METHODS From Jul. to Sep. 2021, 28 ultrasound rooms in 11 medical institutions were selected as the research subjects. Through on-site sampling and laboratory testing, the pathogenic bacteria on surface of used body surface ultrasonic probes, as well as coupling agents in use and their bottle mouths, were cultured. The cleaning and disinfection effects of different post-use probe treatment measures(routine paper towel wiping, paper towel wiping + ultrasonic probe disinfector for disinfection, medical surface wet wipe wiping) were compared. RESULTS Seventy-two probes wiped with routine paper towels were collected, with a bacterial colony count exceeding rate of 66.67%. Thirty-eight probes were disinfected with paper towel wiping + ultrasonic probe disinfector, with a bacterial colony count passing rate of 84.21%. Thirty probes were wiped with medical surface wet wipes, with a bacterial colony count passing rate of 66.67%. The cleaning and disinfection effects of B-mode ultrasound probes treated with paper towel wiping + ultrasonic probe disinfector and medical surface wet wipe wiping were statistically significant(P< 0.001) compared to routine paper towel wiping. Among the 29 samples of coupling agents in use, the bacterial count exceeding rate was 58.62%, and the fungal count exceeding rate was 78.95%. The bacterial colony count on the coupling agent bottle mouths ranged from 10 to 1.66×104 CFU/bottle, and the fungal colony count ranged from 0 to 3.66×104 CFU/bottle. CONCLUSIONS The bacterial and fungal counts on medical ultrasonic probes and coupling agents seriously exceed the standards, posing a risk of hospital-associated infection. Paper towel wiping + ultrasonic probe disinfector and medical surface wet wipe wiping are suitable methods for rapid cleaning and disinfection of the surface of B-mode ultrasound probes.

     

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