Mirror drying method. It is reported as follows.
Received date 20072 Revised date! 9 1 Materials and methods 1.1 Materials 1.1.1 Disinfectant Wanjin medical equipment disinfectant Beijing Wanjin Zhaoyu Disinfection Technology Co., Ltd. production, the original liquid is 18000, 22 with high frequency disinfection of gastrointestinal mirror, the dilution ratio is soaking Wanfu Jinan Medical instrument disinfectant special chlorine test paper to determine the effective chlorine content, only 262 Japan 1 child 5 company 1.1.3 old Ken brand internal cleaning equipment tank. High pressure water gun. High pressure air gun, hand cleaning.
1.2 Method 1.2.13 Group Treatment Methods 9 gastroscopes were randomly divided into 3 groups. There were 3 in each group, and the first group was the control group. The method of drying the endoscope to absorb the moisture of each channel was carried out; the second group was the test group 1. After the endoscope is disinfected, the water in each channel is dried by compressed air; the third group is the test group 2, after disinfection of the endoscope, 75 holes are used to inject the holes, and then dried with compressed air. The method of drying 1.2.2 gastroscope adopts full immersion manual cleaning method to clean the bedside treatment side leakage 4 knives washing and washing sterilizing and washing.
1.2.3 Gastroscope Drying Method After the control group is cleaned and disinfected, the pipe injector is connected to the vacuum suction device. Adjust the negative pressure to 30, and 1 to attract 3; after the negative pressure of the gastroscope in the test group, connect the injector with a high-pressure air gun. Blowing 1; test 2 groups of gastroscope after vacuum suction. Use a syringe to draw 7, ethanol 4, inject, and fill with water, then dry with a high-pressure air gun.
1.2.4 Biological monitoring standards The total number of bacteria is 20, and no pathogenic bacteria can be detected.
1.2.5 Full-line liquid injection sampling 1 On-site sampling will be disinfected and disinfected, and 21 neutral liquid will be extracted by syringe and injected into the biopsy pipeline. At the insertion end, the neutral liquid was collected by a test tube, and the endoscope of the test group was monitored once a week, and the monitoring was continued for 2 times. 1.2.6 The culture method and the result judged that the test liquid was fully oscillated with a vortex, and was inoculated separately. Aseptic culture, count the number of colonies after incubation in a thermostat, and judge the average number of colonies of colonies. 2.2.7 Statistical analysis Statistical analysis was performed using 8158 statistical software. The measurement data was averaged by 1 standard deviation. 7 士. Do not. Rice is analyzed by one-way analysis of variance. 10 for comparison between groups, 0.05 was statistically significant.
2 Results The endoscopy of the 3 groups was monitored once a week for 20 times. The results showed that the control group was positive 38 cases, the positive rate was 51. The test group 1 was positive 10 pieces. The positive rate was 16.7; the number of positive parts in the test group 1 was positive, and the positive rate was 15.0. 1; 3 discusses the complexity of the endoscope structure. The lumen is elongated and the tubes are connected. Negative pressure suction is used to dry the endoscope, which is not easy. The growth of microorganisms was determined according to the group. The number of positive samples was the number of colonies, the number of colonies was CFU, and the control group was tested. In group 1 and group 2, the corpse was compared with the control group. The test group 1 relied on a humid environment. Drying caused the degeneration of bacterial proteins and the increase of salt concentration, which hindered the growth of bacteria or caused death. Therefore, choosing the right drying method is very important for the endoscope.
Endoscope cleaning and disinfection technology operation specifications> Tenth end of the endoscope after the end of washing, use gauze to dry the outside of the endoscope. The water in each channel is sucked clean before it can be used for the diagnosis and treatment of the following patients. Article 16 stipulates that each medical treatment is over. Rinse the disinfected endoscope tubes with 7, ethanol. Drying, storage 3, the guidelines for soft endoscopic cleaning and disinfection issued by the American Society of Digestive Endoscopy indicate that after endoscopic advanced disinfection. Rinse the endoscope and lumen with sterile filtered water to remove the disinfectant. The rinse water is discarded after each use. The chamber was then flushed with 700,900 ethanol or isopropanol. Then dry. The final drying step can greatly reduce the possibility of re-contamination of aquatic microorganisms.
At home and abroad, there are investigation reports on the spread and outbreak of nosocomial infection caused by endoscopic cleaning, disinfection or sterilization. The endoscope is in a damp state for a long time. It is easy to accumulate fog, the image is blurred, and the wetted electronic parts not only cause parts. In addition to the damage to the electronic components themselves and the connected components, it will also cause the power to be connected and increase the degree of damage to the endoscope.
Shortening the service life The results of this study show that the compressed air blowing method is more versatile than the suction method. It is less than the compressed air blowing method 5. The number of positive parts and bacterial colonies is significantly smaller than that of the control group; the compressed air drying method is compared with the compressed air drying method after ethanol injection, the result is not statistically significant, but the compressed air The blow drying method saves costs, and the operation is simple and easy, saving time and effort. Therefore, endoscope drying is recommended to use compressed air to dry 1 Wu Renpei. Feasibility study of acidified water on high level disinfection of digestive endoscopy. In 2 Li Fan. Medical Microbiology 1; Operational Specifications for Endoscope Cleaning and Disinfection Technology of the Ministry of Health of the People's Republic of China!
Year edition 5. Ministry of Health of the People's Republic of China. twenty four! Yang Huai. Liu Wei. Tang Yuyu, and so on. Acidic oxidation potential water and valeraldehyde disinfection endoscope
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