摘要
目的探讨和分析脉动真空压力蒸汽灭菌产生湿包的原因,制定相关控制对策,预防或减少湿包的发生。方法按照消毒技术规范的湿包评判标准,对4126锅次,219 630个灭菌包进行调查分析。结果 219 630个灭菌包中出现241个湿包,湿包率为0.11%;其中错误装载119个,占49.4%,灭菌器和蒸汽质量问题引起34个,占14.1%,出炉后失误及其他88个,占36.5%。结论加强操作规范和流程细节管理,提高业务素质是控制湿包的主要手段;灭菌前物品正确准备和装载、灭菌后卸载物品充分冷、灭菌器保持正常运转状态和确保蒸汽质量等是控制湿包的主要环节。
OBJECTIVE To study the reasons of wet packs occurred after pulsing vacuum steam sterilization,so as to find the way to control or reduce the occurrence of wet packs.METHODS According to the rule of disinfection technology for wet packs,a total of 219 630 packs were studied.RESULTS A total of 241 wet packs were found in this study.The wet packs rate was 0.11%.Among them,incorrect loads accounted for 119 packages(49.4%);problems of autoclave and pressure steam accounted for 34 packages(14.1%).Problems of post-unload and others accounted for 88 packages(36.5%).CONCLUSIONS To set up the rule of staff's standard operation dealing with sterilization,and enhance their operation ability is the main methods for the wet pack control.Package with correct loads and preparedness before sterilization,high quality steam,autoclave running in order are the key points which must be paid attention to.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第11期2285-2286,共2页
Chinese Journal of Nosocomiology