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由于内镜腔道多,结构复杂,受患者血液、体液污染严重,清洗消毒过程存在易被忽视的步骤而导致医源性感染。1危险因素(1)医护人员对患者传染性指标(乙型肝炎病毒、丙型肝炎病毒等)检测不到位,致使内镜消毒过程中无法准确区分特殊感染者用过的内镜,无法按特殊感染者内镜消毒要求消毒,易造成医源性感染。(2)内镜清洗消毒工作人员超负荷工作,存在简化消毒操作步骤的可能;加之培训不到位,致使消毒人员不能理解消毒的意义,无法严格按操作规程完成消毒工作;省略酶洗环节或减少酶洗时间;未做到每例患者用
Due to the large number of endoscopic cavity, the structure is complex, subject to serious blood and body fluid contamination, cleaning and disinfection process has been overlooked steps leading to iatrogenic infection. 1 risk factors (1) medical staff of infectious disease indicators (Hepatitis B virus, Hepatitis C virus, etc.) detection is not in place, resulting in endoscopic disinfection can not accurately distinguish between the special infection used endoscopy, can not be special Infection of endoscope disinfection requires disinfection, can easily lead to iatrogenic infection. (2) endoscopic cleaning and disinfection staff overload, there is the possibility of simplifying disinfection steps; combined with training is not in place, resulting in disinfection personnel can not understand the meaning of disinfection, disinfection can not be completed strictly in accordance with operating procedures; Enzyme washing time; not used in every patient