The inner mirror sterilizes the current situation to make people

The inner mirror sterilizes the current situation to make people anxious
Staff reporter Sun Meng

"A part covers the investigation of over 80 medical organizations of 21 provinces, municipalities directly under the Central Government of the whole country to reveal, the engineering level of the mirror is promoted fast in our country digests, but the mirror sterilizes the qualification rate and allows of no optimist in the hospital, should strengthen to control to sterilize. " May 25,one of this newspapers edition publication "in last qualification rate and allow of no optimist mirror " news in the field of business to last concern. At present, what problems the mirror sterilizes and exists on earth in our country, from what reasons cause, how to solve? A few days ago, reporters interviewed many hospitals of Beijing.

The inner mirror sterilizes the overall state not clear

The reporter finds in the interview, the disinfecting overall state of the mirror is not clear in our country at present. Peking University first hospital infect, manage the intersection of head of the department and Li, 600 million tell reporter, in recent years, our country has not specially organized the nationwide relevant investigation. However, can also detect the severity of the problem only from some some investigation results.

Issue mirror sterilize reveal by investigation of current situation in last year 4 the intersection of issue and one the intersection of Xinjiang and the intersection of Urumchi and the intersection of the whole city and hospital at " whether China sterilize study magazine ", some medical organizations of this market have no independent inner mirror to wash the disinfection room, the inner environmental sanitation quality qualification rate of mirror room is 57.14%. The inner mirror needn't flow to sterilize water to wash, scrub the phenomenon of the step not up to standard, the qualification rate of the working technique is 70%; It is 65.71% to wash and sterilize the time coincidence rate; The average qualification rate of disinfection effect of the inner mirror is 68.09%.

Mirror wash sterilize technological operation regulation " implement, " in Li 600 million introduce, since will it be June 2004 Ministry of Public Health ", the inner mirrors in all parts of the country sterilized the state to change greatly than in the past, the inner mirror sterilizes saying good-bye to gradually " Three barrels sterilize the law " ,The procedure becomes more normal. But she says, if want to guarantee the disinfection effect, there are a lot of conditions in need of meeting: The hardware respect, include independent washing and sterilize the space, enough making a diagnosis and sterilizing the instrument and equipment etc.; Software respect, need the hospital to set up and carry out the relevant system and wash and subdue the procedure, ensure, wash, disappear quantity, quality of personnel and train, fixed inside monitor the intersection of medical personnel and the intersection of rival and the intersection of compliance and,etc. of hygiene. Any respect is unsatisfied, it can't get the assurance to sterilize the qualification rate.

The intersection of Beijing and hospital infect, manage quality control and improve the intersection of centre and director, the intersection of Peking University and the People's Hospital, infect, manage head of the department to be military to meet great to tell reporter, except the mirror in digestion, other fiber inner mirrors are (such as the mirror, bronchus mirror in the laryngoscope, nose) Disinfection manage even more need pay close attention to. She says, on the basis of the each clinical and specialized characteristic, seldom there is a hospital that concentrates on sterilizing and managing these inner mirrors according to the norm at home at present, mostly disperse and go on in every department, supervises and checks and has not really formed the system to it either.

In fact, what is sterilized and in suspense is not merely medical workers the inner mirror. At over 7 o'clock on June 22, reporter ran into the gate of mirror room in the digestion of hospital of some the first, second and third of Beijing aunt Lin who does gastroscope treatment of the hospital comes because of gastrorrhagia. She tells reporters, will enter a tube in the stomach from the mouth after all, the hygiene question must be cared about, as to let people rest assured some large hospital. She still hears of, is afraid the gastroscope is not sterilized well, the best one is the first upper platform, so she comes to the hospital early.

" non- enough " Result in sterilizing hasty and carelessly

Wash, pull out first that carry on wash by hand, adopt, sterilize manually or machinery sterilize way must go on, wash thorough the beginning first behind the mirror for the first time. Take gastroscope as examples, because gastroscope no matter is thin and long, it is not apt to scrub, some hospitals do not even use the specialized brush or wash with the non-current water, it does not cause the organic matter to remain completely to wash, influence the disinfection effect.

Where is the reason to cause these questions?

"We find in checking, there are only a machine, a mirror in some hospitals, but book 20 odd patients in a whole morning. " Quality control of mirror while digesting in Beijing and improving central office director, subsidiary Beijing Friendship Hospital of Capital University of Medical Sciences to digest Ji, Deputy Director of department, and tell reporters tomorrow, according to the normal procedure, the washing of mirror in one takes about 30 minutes to subdue the course, as to some possession and 2 3 gastroscope and hospital of an inspection desk, can book the just basic saturation of 10 patients in a whole morning. The mirror is not enough in the hospital, must lead to the fact some hospitals compress and sterilize time, wash to disappear the course is hasty and careless, and this is that the mirror sterilize the unstandard important reason while causing.

The reporter interviews to know, at present, about 200,000 yuan for an ordinary domestic gastroscope price, import 300,000 yuan about, the intersection of mirror and in more than million yuans host computer under electron. In Beijing, the expenses which are done gastrocopy are 250 yuan, then some can only use the gastroscope to launch the hospital checked, it is unwilling to invest too much and wash and subdue cost and time, but make an issue of accelerating the turnover.

Quality control of mirror while digesting according to Beijing last year and improving the survey of above- second -class hospital of the whole city of the centre, there are 49 disinfecting hospitals of mirror while going on by washing and sterilizing the law manually in Beijing, there are 8 hospitals sterilized with machinery. Say by disinfecting hospital of machinery, it is a sum of expenses had to consider too to sterilize the cost as to those. "At least 500,000 yuan of sterilizing machine automatically for one, 1500 yuan for a barrel of antiseptic, will use 4 barrels in one month, filter filling in, one's own disinfection of sterilizing machine and strain expenses such as slice and machine natural wearing,etc.. " The surgical technologist-in-charge of gastro-endoscopic room of first hospital of Peking University enters the rain and says roof beam, the inner mirror did not originally make money when making a diagnosis, some small hospitals were more unwilling to invest too much in sterilizing.

In fact, besides the factor of the money, there are a lot inner mirrors sterilizes low-level reasons. For example, some hospitals sterilize the idea faintly, inside is supervised and lacked, nurse's quantity can not satisfy the demands, the medical personnel lacks systematic disinfection and is operated and trained etc..

Supervision omission of daily outside

Since the inner mirror sterilizes the current situation and allows of no optimist, is there an organization that is responsible for supervising it at ordinary times specially? Is the supervision mechanism already set up rational?

"Say, infecting the supervision of managing the department plays an important role from the hospital. " The third hospital in Peking University infects and manages Yuan XiaoNing, vice professor of nursing of department, and introduces, this institute is infected with and will manage the department to sterilizing disinfection effect and medical worker's hand hygiene situation of mirror, antiseptic are monitored each quarter, if the problem exists, the hospital will be supervised and rectified and improved to manage subject in time to infect.

Except it is conscientious to depend on, are there organizations or departments that are responsible for the event that it is supervised at ordinary times that the inner mirror has been sterilized outside hospital?

Deputy Director of Beijing Chaoyang Health Inspection Gao DanDan says, in every district county hospital checks to the routine of the medical organization, the disinfecting checking the content of mirror while involving sometimes. The mirror was sterilized and checked in the personnel that the reporter once followed Beijing Haidian Health Inspection went to the institute of north medicine three to pay. While checking, defend, supervise, pay close attention to the fact and sterilize the intersection of apparatus and apparatus, have relevant written instructions or comments, sterilize, it records to be complete and training relevant personnel etc., seldom involve to sterilizing the technological aspect.

In recent years, responsible institution has strengthened the hygiene to curing idea and efforts that the source infection prevents and controls from top to bottom, Ministry of Public Health launched " The hospital is annual in management " With " medical Long March to Quality Campaign " The activity involves sterilizing the inspection of the state to the inner mirror. However, how to strengthen to sterilize the supervising and guiding to the medical organization at ordinary times of management, emergence how to prevent the hospital from infecting on the source effectively, it is the Ministry of Health that still needs to explore the problem solved.

The inner mirror sterilizes the standard thinningly

As to how solve mirror sterilize the intersection of qualification rate and high problem in the our country, Li 600 million point out, should improve employee's understanding that the inner mirror sterilized and sterilized work first.

Li 600 million say, in whom she participate in being relevant check, find the intersection of mirror and the intersection of room and disinfection of staff member sterilize knowledge and is deficient in the some, it is not enough to sterilize time. The time of disinfection substantially as using two aldehyde antiseptic of fifth is lower than the norm to require time; While using chlorine to already sterilize the gastroscope definitely, the density which lacks disinfectant is monitored and sterilized biology which sterilize the result to monitor etc.. And all these are solved only through strengthening training.

Military to meet great to point out our country wash, sterilize field, lack systematicness, study even in the intersection of fiber and inner mirror at present. With the development of medical science, the fiber inner mirror is more meticulous, the structure is more and more complicated, materials are diversified day by day, the tolerance that different attachments sterilize the factor to temperature, pressure and chemistry is different, how high-efficient, fast, low consumption go on, sterilize, remain, further explore even to them.

" for more than 6 years so far that the mirror washed and sterilized the technological operation regulation in Ministry of Public Health promulgated and enforced since 2004 ". During this time, the mirror makes a diagnosis the engineering level is promoted fast in our country, some disinfecting procedure and relevant technical indicator of inner mirror need adjusting correspondingly.

It is reported, Ministry of Public Health has already started the mirror washes the formulation work which sterilizes the technical specification standard while digesting this year. Already there are relevant organizations that have started to the investigation that the mirror sterilizes the state in the whole country at home at present, in order to offer more basic data for standardizing and making.



The inner mirror sterilizes the current situation to make people anxious