Effect of multi-enzyme cleaning agent and alkaline cleaning agent on cleaning quality management ofmedical instruments in disinfection supply room
多酶清洗剂及碱性清洗剂清洗用于消毒供应室医疗器械清洗质量管理中的效果

摘要

目的 分析碱性清洗剂与多酶清洗剂在消毒供应室对医疗器械清洗质量的效果，评价出合理的清洗方案，以期为临床提供合理的清洗方案。方法 选取时间段2019年8月到2021年8月之间本院消毒供应室所使用的医疗器械为研究对象，所选医疗器械共有1000件，其中包括活检钳、取瘤钳、咬骨钳、管腔类、齿牙类共有5类医疗器械主要分布为手术器械为主，每类器械各200件，按照清洗先后将1000件医疗器械分为两组，每组500件医疗器械，其中每类器械未100件，其中甲组使用多酶清洗剂，乙组则使用碱性清洗剂进行清洗。通过目测法、擦拭法、杰力试纸测试法对消毒供应室1000件医疗器械的清洗质量进行检测评价，采用清洗质量评分评价综合清洗质量对比。结果 乙组的清洗合格率与清洗质量评分高于甲组，保湿液用量与费用支出低于甲组（P<0.05）。结论 碱性清洗剂清洗医疗器械的合格率较高，可以控制成本。

Abstract

Objective To analyze the effect of alkaline cleaning agent and multi-enzyme cleaning agent on the cleaning quality of medical instruments in the disinfection supply room, and to evaluate the reasonable cleaning program, in order to provide a reasonable cleaning program for clinical.
Methods The medical devices used in the disinfection supply room of our hospital from August 2019 to August 2021 were selected as the research objects. A total of 1000 medical devices were selected, including biopsy forceps, tumor extraction forceps, bone gnawing forceps, lumen and dentition, and five categories of medical devices were mainly distributed as surgical instruments, with 200 for each category. According to the cleaning, 1000 pieces of medical devices were divided into two groups, each group had 500 pieces of medical devices, including less than 100 pieces of each type of devices. Group A used multi-enzyme cleaning agent, group B used alkaline cleaning agent for cleaning. The cleaning quality of 1000 medical instruments in the disinfection supply room was evaluated by visual method, wiping method and Jelly-paper test method, and the comprehensive cleaning quality comparison was evaluated by cleaning quality score.
Results The qualified rate and cleaning quality score of group B were higher than those of group A, and the dosage and expense of moisturizing fluid were lower than those of group A (P<0.05).
Conclusion   The qualified rate of cleaning medical instruments with alkaline cleaning agent is higher and the cost can be controlled.