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目的探讨目前医院在用的自制棉布标准B-D包、一次性B-D测试包和模拟管腔型监测装置3种压力蒸汽灭菌器监测装置的实用性能。方法严格按照ISO 11140-4/5:2006.12.14的测试方法,采用自制棉布标准B-D包、一次性B-D测试包和模拟管腔型监测装置,分别对压力蒸汽灭菌器进行监测,比较3种监测装置的监测结果、效率、成本等。结果一次性B-D测试包监测合格率最高(99.2%),平均每次耗费时间最短(2 min),管腔型监测装置平均每次使用费用最低(46.9元)。结论一次性B-D测试包和管腔型监测装置根据各自特点都是值得推荐的压力蒸汽灭菌器性能监测装置,而自制棉布标准B-D包由于敏感性、工作效率和成本各方面的原因,应当尽快升级换代。
Objective To explore the practical performance of three kinds of pressure steam sterilizer monitoring devices, such as the homemade B-D standard bag, the one-time B-D test bag and the simulated lumen-type monitoring device used in the hospitals. Methods In accordance with the test method of ISO 11140-4 / 5: 2006.12.14, three standard types of self-made cotton standard BD package, disposable BD test package and simulated lumen type monitoring device were respectively used to monitor the pressure steam sterilizer. Monitoring device monitoring results, efficiency, cost and so on. Results The one-off B-D test package showed the highest pass rate (99.2%) with the shortest average time (2 min) and the lowest per-use cost (RMB 46.9). Conclusions The disposable BD test package and the lumen monitor are recommended steam pressure sterilizer performance monitoring devices according to their respective characteristics. However, due to the sensitivity, work efficiency and cost, the homemade BD standard BD package should be as soon as possible Upgrading.