Citation: | YE Xiaofang, SUN Jianping, QIN Ying, LIU Qi, DONG Shuping, MENG Ting. Survey and recommendations for gastrointestinal endoscope cleaning and disinfection quality in 74 medical institutions in Yangzhou of Jiangsu Province[J]. Journal of Clinical Medicine in Practice, 2025, 29(7): 122-126. DOI: 10.7619/jcmp.20245805 |
To investigate the current situation of personnel training, material allocation, process implementation and quality monitoring of gastrointestinal endoscopy cleaning and disinfection in medical institutions at all levels in Yangzhou City, so as to provide reliable data for further improving the quality management of digestive endoscopy cleaning and disinfection in the city.
According to the latest industry standards, a questionnaire was designed to carry out an online questionnaire survey on the status quo of digestive endoscopy cleaning and disinfection in 74 medical institutions of different levels in Yangzhou City, and the results were analyzed.
50% of the city's hospitals adopt the way of self-training within the department, and only 22 people have obtained the provincial or above professional cleaning and disinfection certificate. In 21.62% of hospitals, cleaning and disinfection personnel were not assessed before starting work. 13.51% of the hospitals did not use purified water for terminal rinsing, and 44.59% of the hospitals did not have a cleaning and disinfection machine. 79.73% of hospitals recorded by hand. 71.62% of the hospitals failed to carry out standard cleaning quality monitoring, 83.78% of the hospitals did not implement biofiltration monitoring method. In addition, in the biological monitoring in 2023, 14.86% of hospitals had the problem of excessive microorganisms.
The implementation of endoscope cleaning and disinfection standards varied significantly among medical institutions in Yangzhou, with level one and level two hospitals posing potential hospital infection risks. It is recommended to establish a professional entry system for endoscope cleaning and disinfection personnel citywide, increase investment in hardware facilities, and strictly enforce monitoring standards.
[1] |
陶金燕, 李长政, 杨红燕, 等. 消化内镜消毒质量与钳子管道组织胶残留的相关性分析[J]. 实用临床医药杂志, 2024, 28(12): 18-20, 25. doi: 10.7619/jcmp.20233673
|
[2] |
廖想, 李依倪. 消化内镜医院感染现状及其预防措施研究进展[J]. 中国消毒学杂志, 2021, 38(2): 140-143.
|
[3] |
MCCAFFERTY C E, AGHAJANI M J, ABI-HANNA D, et al. An update on gastrointestinal endoscopy-associated infections and their contributing factors[J]. Ann Clin Microbiol Antimicrob, 2018, 17(1): 36. doi: 10.1186/s12941-018-0289-2
|
[4] |
JI X Y, NING P Y, FEI C N, et al. The importance of sampling technique and rinse water for assessing flexible gastrointestinal endoscope reprocessing: a 3-year study covering 59 centers[J]. Am J Infect Control, 2020, 48(1): 19-25. doi: 10.1016/j.ajic.2019.07.008
|
[5] |
WIKTORCZYK N, KWIECINSKA-PIRÓG J, SKOWRON K, et al. Assessment of endoscope cleaning and disinfection efficacy, and the impact of endoscope storage on the microbiological safety level[J]. J Appl Microbiol, 2020, 128(5): 1503-1513. doi: 10.1111/jam.14558
|
[6] |
刘运喜, 邢玉斌, 巩玉秀. 软式内镜清洗消毒技术规范WS 507—2016[J]. 中国感染控制杂志, 2017, 16(6): 587-592.
|
[7] |
周晨颖, 顾青. 软式消化内镜再处理及其影响因素的研究进展[J]. 中国护理管理, 2024, 24(5): 782-786.
|
[8] |
金慧, 王慧敏, 沈林海, 等. 杭州市医疗机构消化内镜清洗消毒现况及影响因素分析[J]. 中国消毒学杂志, 2021, 38(3): 214-217.
|
[9] |
王盈盈, 鲍小倩, 邱晓珏, 等. 消化内镜中心内镜信息化追溯系统的设计及应用效果评价[J]. 中华医院感染学杂志, 2024, 34(1): 139-143.
|
[10] |
高华婷, 贾荣华, 田大军. 基于RFID和物联网的内镜清洗系统设计[J]. 物联网技术, 2024, 14(4): 117-119.
|
[11] |
郭新月, 王依晗, 秦一鸣, 等. 北京市51所三级医院内镜超声微探头清洗消毒现状调查[J]. 中国感染控制杂志, 2024, 23(9): 1157-1162.
|
[12] |
ROWAN N J, KREMER T, MCDONNELL G. A review of Spaulding's classification system for effective cleaning, disinfection and sterilization of reusable medical devices: Viewed through a modern-day lens that will inform and enable future sustainability[J]. Sci Total Environ, 2023, 878: 162976.
|
[13] |
石雪平, 李雯, 谢甜芳, 等. 江苏省106所医疗机构消化内镜清洗质量问卷调查[J]. 中华医院感染学杂志, 2021, 31(21): 3356-3360.
|
[14] |
李贤煌, 黄子怡, 张洋洋, 等. 全国492所医疗机构胃肠镜微生物学监测现况调查[J]. 中华医院感染学杂志, 2023, 33(14): 2204-2209.
|