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首页> 外文期刊>European journal of gastroenterology and hepatology >Reprocessing practice in digestive endoscopy units of district hospitals: results of a Portuguese National Survey.
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Reprocessing practice in digestive endoscopy units of district hospitals: results of a Portuguese National Survey.

机译：地方医院消化内镜部门的后处理实践：葡萄牙国家调查的结果。

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BACKGROUND AND AIM: An inadequate disinfection of endoscopes and associated accessories can result in the transmission of infections to patients. The aim of this study was to access reprocessing practice in the endoscopy units of Portuguese district general hospitals. METHODS: An anonymous questionnaire on cleaning and disinfection methods was sent to all endoscopy units of Portuguese district general hospitals. RESULTS: A total of 25 units responded (93%). All endoscopy units performed manual cleaning (including brushing of accessible channels) before disinfection. Automated endoscope reprocessing machines were available in all units. Manual disinfection was performed in only one unit. In 48% of the surveyed units, endoscopes were systematically disinfected before each session, whereas in 16% this was performed only occasionally. The most commonly used disinfectant was peracetic acid (32%). Disposable papillotomes, biopsy forceps, and polipectomy snares were used in nine (36%), six (24%), and 14 (56%) units, respectively. Disposable papillotomes, forceps, and snares were reused in three (12%), two (8%), and three (12%) units, respectively, always after sterilization. Most units did not perform regular evaluation of reprocessing staff competence (60%), regular microbiological inspection (56%), or registry of reprocessing (56%). CONCLUSION: The data collected suggest that there is a good compliance with standard guidelines. Nevertheless, there is still room for improvement mainly in quality assurance.
机译：背景与目的：内窥镜及相关附件的消毒不足会导致感染传染给患者。这项研究的目的是在葡萄牙地区综合医院的内窥镜检查科中进行后处理实践。方法：将有关清洁和消毒方法的匿名调查表发送给葡萄牙地区综合医院的所有内窥镜检查单位。结果：共有25个单位做出了回应（93％）。在消毒之前，所有内窥镜检查单元均进行了手动清洁（包括刷扫可及通道）。所有单元均配有自动内窥镜后处理机。手动消毒仅在一个单元中进行。在48％的被调查单位中，每次使用前都会对内窥镜进行系统消毒，而在16％的单位中，这种消毒只是偶尔进行。最常用的消毒剂是过乙酸（32％）。一次性使用的乳头状切除术，活检钳和切除术的网罗分别以9个（36％），6个（24％）和14个（56％）的单位使用。始终在灭菌后，分别以三个（12％），两个（8％）和三个（12％）的单位重复使用一次性乳头状切除术，镊子和圈套器。大多数单位没有对后处理人员的能力进行定期评估（60％），不定期进行微生物检查（56％）或对后处理进行登记（56％）。结论：收集的数据表明符合标准指南。尽管如此，主要在质量保证方面仍有改进的空间。

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