擴陰器不同清洗消毒方法和流程改進的效果評價

周亞春 繆錫芬

【摘 要】目的：探討本院消毒供應中心對擴陰器采用不同清洗消毒方法和流程改進的效果。方法：將2019年9月1日至2019年9月10日本院計生科人流包、上環包、婦科清宮包內擴陰器240只，隨機均分成A、B、C三組，每組80只。A組采用常規多酶浸泡手工刷洗聯合全自動清洗消毒器清洗消毒，B組采用95%乙醇擦洗多酶浸泡聯合全自動清洗消毒器清洗消毒，C組采用堿性還原電位水刷洗聯合全自動清洗消毒器清洗消毒。應用目測法、白紗布擦拭法、蛋白殘留測試對比三組擴陰器清洗消毒效果和質量。結果：三組清洗效果均符合院感要求，C組目測法、白紗布擦拭法、蛋白殘留測試檢測值各項均顯著優于A組、B組，差異均有統計學意義（P<0.05）。結論：用堿性還原電位水刷洗聯合全自動清洗消毒器清洗消毒能有效去除擴陰器上的分泌物殘留及碘伏，白紗布檢測無污漬，切實可行。

【關鍵詞】擴陰器;全效多酶清洗液;95%乙醇;堿性還原電位水;清洗質量

[Abstract] Objective：To explore the effect of different cleaning and disinfection methods and process improvement on the diffuser in our hospital disinfection supply center. Methods： From September 01 to 10， 2019， the Family Planning Department's flow package， the upper ring package， and the gynecological Qing Palace package 240 were randomly divided into three groups： A， B， and C， with 80 in each group. Group A was cleaned and disinfected by conventional multi-enzyme soaking manual scrubbing combined with automatic cleaning and sterilizing machine. Group B was cleaned and disinfected by 95% alcohol scrubbing multi-enzyme soaking combined with automatic cleaning and disinfecting device. Group C was treated with alkaline reducing potential water brushing and automatic cleaning. The sterilizer is cleaned and disinfected. The visual inspection method， the white gauze wiping method and the protein residue test were compared to the cleaning and disinfection effects and quality of the three sets of diffuser. Results： The cleaning effects of the three groups were in line with the hospitality requirements. The visual values of the C group， the white gauze wiping method and the protein residue test were significantly better than the A group and the B group， and the differences were statistically significant （P<0.05）. Conclusion： The alkaline reduction potential water brushing combined with the automatic cleaning and disinfecting device can effectively remove the secretion residue and iodophor on the diffuser. The white gauze is free from stains and is feasible.

[Key words]Diffuser; Full-effect multi-enzyme cleaning solution; 95% alcohol; Alkaline reduction potential water; Cleaning quality

計生科人流包、上環包及婦科清宮包內的擴陰器因在使用過程中接觸了大量的碘伏，回收后采用常規的多酶浸泡、手工刷洗聯合全自動清洗消毒器清洗消毒，其清洗消毒效果不盡如人意[1-2]。本消毒供應中心不斷查找原因，在清洗質量檢測中發現白紗布上有黃色污漬，系碘伏殘留于擴陰器上所致，因此采用了95%乙醇擦洗多酶浸泡擴陰器聯合全自動清洗消毒器清洗消毒，取得了明顯的效果，可在波洱蛋白殘留檢測中出現陽性反應，試著采用了堿性還原電位水浸泡刷洗再聯合全自動清洗消毒器清洗消毒，未曾想起到了意想不到的效果，經過反復使用對比和質量檢測，對清洗流程進行科學改進，規范主客觀檢測指標，達到了理想的清洗消毒效果，現將相關資料報告如下。

1 材料與方法

1.1 材料

擴陰器240只;強效多酶清洗液（3M公司）;95%乙醇（興化市醫療衛生用品有限公司）;堿性還原電位水;清洗刷（長恒縣）;白紗布（江陰市醫療廠）。