SU Jilan. Influence of different pretreatments on the cleaningquality of overnight surgical instruments[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 124-126, 130. DOI: 10.7619/jcmp.201924039
Citation: SU Jilan. Influence of different pretreatments on the cleaningquality of overnight surgical instruments[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 124-126, 130. DOI: 10.7619/jcmp.201924039

Influence of different pretreatments on the cleaningquality of overnight surgical instruments

More Information
  • Received Date: September 25, 2019
  • Accepted Date: November 24, 2019
  • Available Online: February 28, 2021
  • Published Date: December 27, 2019
  •   Objective  To compare the effects of different pretreatment methods for cleaning overnight surgical instruments.
      Methods  A total of 420 contaminated surgical instruments, such as bone-biting forceps, lumen instruments and dental instruments in January 2018 were selected as study objects, and were randomly divided into observation group(n=210) and control group(n=210). The surgical instruments in the control group were directly placed in the closed instrument recycling box, while those in the observation group were washed with clean water, sprayed with moisturizing agent on the surface, and then placed in the closed instrument recycling box. The instruments of two groups were sent to the disinfection supply center for cleaning at the same time next day, and the qualified rates of the two groups were compared.
      Results  The qualified rates of cleaning surgical instruments such as lumen and teeth instruments, tumor removal forceps, bone-biting forceps and biopsy forceps in the observation group were significantly higher than that in the control group(P < 0.05).
      Conclusion  Pretreatment and cleaning for overnight operating room instruments can effectively improve the qualified rate, improve the quality of cleaning, and effectively reduce the difficulty of equipment cleaning.
  • [1]
    李焕平, 陈权文. 手术器械清洗质量的影响因素分析与预防措施[J]. 护理实践与研究, 2019, 16(15): 23-25. doi: 10.3969/j.issn.1672-9676.2019.15.009
    [2]
    姚艳华, 魏红艳, 陆海雯, 等. 改良清洗流程对隔夜眼科手术器械清洗的效果研究[J]. 当代护士, 2019, 26(8): 148-150. doi: 10.3969/j.issn.1006-6411.2019.08.068
    [3]
    Mamalis N, Chang D F. Guidelines for the cleaning and sterilization of intraocular surgical instruments. [J]. Journal of cataract and refractive surgery, 2018, 44(6): 267-268. http://www.sciencedirect.com/science/article/pii/S088633501830467X
    [4]
    焦亚飞. 预处理对外来手术器械清洗效果的影响分析[J]. 山东医学高等专科学校学报, 2019, 41(2): 138-139. doi: 10.3969/j.issn.1674-0947.2019.02.030
    [5]
    杨剑, 朱辉. 蒸汽清洗机预处理对手术器械清洗的效果评价[J]. 医疗卫生装备, 2019, 40(2): 75-78. https://www.cnki.com.cn/Article/CJFDTOTAL-YNWS201902017.htm
    [6]
    侯玲君, 俞慧. 规范手术室手术器械预处理流程的重要性[J]. 世界最新医学信息文摘, 2018, 18(90): 313-314. https://www.cnki.com.cn/Article/CJFDTOTAL-WMIA201890256.htm
    [7]
    陈美华, 过庆华, 沈维燕. 手工预处理对消毒供应中心复用手术器械清洗质量的影响[J]. 医疗装备, 2018, 31(18): 59-60. doi: 10.3969/j.issn.1002-2376.2018.18.042
    [8]
    Yuhei Saito, Hiroshi Yasuhara, Satoshi Murakoshi. Concerns Associated With Cleaning Robotic Surgical Instruments-Response to Wallace[J]. Infection Control & Hospital Epidemiology, 2017, 38(8): 596-597. http://europepmc.org/abstract/MED/28560940
    [9]
    姬小蔓, 崔海丽, 肖鹏祖, 等. 预处理对隔夜手术器械清洗质量的影响[J]. 全科护理, 2018, 16(13): 1631-1633. doi: 10.12104/j.issn.1674-4748.2018.13.037
    [10]
    Dayane de Melo Costa, Lillian Kelly de Oliveira Lopes, Honghua Hu. Alcohol fixation of bacteria to surgical instruments increases cleaning difficulty and may contribute to sterilization inefficacy[J]. AJIC: American Journal of Infection Control, 2017, 45(8): 964-965. http://www.ncbi.nlm.nih.gov/pubmed/28602275
    [11]
    姚艳华, 余枝秀, 彭施萍, 等. 保湿预处理方式对隔夜手术器械清洗效果观察[J]. 中国消毒学杂志, 2017, 34(6): 576-577. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201706027.htm
    [12]
    江国芳, 何东平, 保建芳. 三种不同预处理方法对妇科人工流产手术器械的清洗效果[J]. 中国消毒学杂志, 2017, 34(5): 472-473. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201705025.htm
    [13]
    Nick Mamalis. Guidelines for the cleaning and sterilization of intraocular surgical instruments[J]. Journal of Cataract & Refractive Surgery, 2018, 44(6): 217-219. http://www.sciencedirect.com/science/article/pii/S088633501830467X
    [14]
    刘美芹, 吴红梅, 王翠兰. 探讨隔夜管腔器械的最佳清洗方法[J]. 全科护理, 2017, 15(11): 1360-1362. doi: 10.3969/j.issn.1674-4748.2017.11.033
    [15]
    保建芳, 何东平, 吴美琴. 隔夜手术器械清洗方法的改进[J]. 中国感染控制杂志, 2017, 16(5): 476-478. doi: 10.3969/j.issn.1671-9638.2017.05.019
    [16]
    Yamashita Kazuhiko, Miyabe Sayaka, Yamashita Tomok. Corrosion Generation and Cleaning Effect on Surgical Instruments with Attached Radiofrequency Identification Tags in Long-Term Usage[J]. Surgical infections, 2019, 14(6): 1284-1286. http://www.researchgate.net/publication/333665349_Corrosion_Generation_and_Cleaning_Effect_on_Surgical_Instruments_with_Attached_Radiofrequency_Identification_Tags_in_Long-Term_Usage/download
    [17]
    王真理, 孙勤. 提高手术器械清洗质量, 预防医院感染[J]. 当代护士, 2018, 25(8): 173-174. doi: 10.3969/j.issn.1006-6411.2018.08.083
    [18]
    黄平, 姜玮, 陈艳. 蒸汽清洗对隔夜手术器械清洗效果的影响[J]. 护理实践与研究, 2017, 14(22): 139-140. doi: 10.3969/j.issn.1672-9676.2017.22.055
    [19]
    Lillian Kelly de Oliveira Lopes, Dayane de Melo Costa, Anaclara Ferreira Veiga Tipple. Surgical instruments complex design as barrier for cleaning effectiveness, favouring biofilm formation[J]. Journal of Hospital Infection, 2018, 10(27): 853-855. http://www.ncbi.nlm.nih.gov/pubmed/30423413
    [20]
    李少英, 王玉玲, 陈兰焕. 不同预处理方法对夜间手术器械清洗效果的临床研究[J]. 吉林医学, 2019, 40(5): 1127-1129. doi: 10.3969/j.issn.1004-0412.2019.05.104
  • Related Articles

    [1]ZHANG Li, BAI Jing, YAN Jingxiao, WANG Haijie, ZHANG Yan. Application of transvaginal ultrasound, multimodal magnetic resonance imaging and 18F-fluorodeoxyglucose positron emission computed tomography/computed tomography in diagnosis of endometrial carcinoma[J]. Journal of Clinical Medicine in Practice, 2025, 29(4): 69-72, 77. DOI: 10.7619/jcmp.20243701
    [2]LI Xiaolu, HUO Liqun, GU Jun. Research progress on positron emission tomography/magnetic resonance imaging in diagnosis and treatment of breast cancer[J]. Journal of Clinical Medicine in Practice, 2023, 27(24): 115-119. DOI: 10.7619/jcmp.20231580
    [3]ZHANG Zhixiang, CUI Bo, LI Tianyun, XIE Fei. Multi-slice spiral computed tomography versus gadolinium diethylenetriamine pentaacetic acid enhanced magnetic resonance imaging in follow-up of primary hepatic cancer after transcatheter hepatic arterial chemoembolization[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 9-13. DOI: 10.7619/jcmp.20222213
    [4]LI Juanjuan, LIU Min, YANG Bin, DU Wei, YANG Hongkai, LIAO Yanquan, LI Junhang, WANG Jun. Application of artificial intelligence-assisted pulmonary nodule screening and qualitative diagnosis[J]. Journal of Clinical Medicine in Practice, 2022, 26(8): 8-12. DOI: 10.7619/jcmp.20214698
    [5]ZHOU Chunshan, HUANG Yan, YAN Wenchao. Value of computed tomography scan versus magnetic resonance imaging in the diagnosis of pancreatic cystadenocarcinoma[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 47-50. DOI: 10.7619/jcmp.202020013
    [6]ZHAO Chenghua. Value of artificial intelligence assisted diagnostic system combined with CT test in diagnosis of pulmonary nodules[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 9-11. DOI: 10.7619/jcmp.202019003
    [7]HU Shanwen, WANG Lei, HOU Xiaoli, WANG Jigui, LUO Xinhui. CT versus MRI in diagnosis of early avascular necrosis of femoral head[J]. Journal of Clinical Medicine in Practice, 2019, 23(7): 40-43. DOI: 10.7619/jcmp.201907011
    [8]TIAN Juan, WANG Huifang, DONG Jianghua. Value of abdominal computed tomography in evaluating extramural vascular invasion of gastric cancer[J]. Journal of Clinical Medicine in Practice, 2019, 23(7): 29-31, 36. DOI: 10.7619/jcmp.201907008
    [9]CHEN Jie, ZHANG Hao, TANG Zhiqi. Value of MRI combined with CT in diagnosis and assessment of spinal tuberculosis[J]. Journal of Clinical Medicine in Practice, 2018, (11): 104-105,108. DOI: 10.7619/jcmp.201811029
    [10]KAI Huihua, WANG Xiang, XUE Yuejun, ZOU Ping, ZHANG Chunhong, CAO Jian, PAN Changjie. Application of low-dose multi-slice spiral CT multi-stage scan and three-dimensional reconstruction in diagnosis of patients with gastric carcinoma[J]. Journal of Clinical Medicine in Practice, 2017, (5): 106-109. DOI: 10.7619/jcmp.201705029

Catalog

    Article views (265) PDF downloads (7) Cited by()

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return