两种B-D测试结果不合格图样分析及探讨深圳市南山区人民.docVIP

两种B-D 测试结果不合格的图样分析及探讨 深圳市南山区人民医院消毒供应中心 张立南 倪登会 刘碧云 李小妮 谈慧芳 广东深圳518052 摘要:目的 分析两种品牌B-D 测试结果不合格的图样表现形式及原因并总结归类，为灭菌炉及相关设施的维修和保养找到迅速而准确有效的方法，降低设备故障对灭菌工作顺利进行的影响。方法 实验分A、B两组进行，A组采用3M一次性B-D测试包, 逢单日在所有4台灭菌器做BD测试; B组采用OTTO一次性BD测试包，逢双日在所有4台灭菌器做BD测试; 当其中任意一组测试失败时，同日立即使用另一组测试包进行双重对比，检查B-D测试失败原因并维修，维修后两组B-D测试和生物测试连续三次通过后该灭菌锅方能使用。A、B两组实验共进行760次,观察并对比两组不合格测试结果的次数和B-D测试纸的变色图样。 结果 A组有30次失败,其中13次图样变色不完全, 中心有大小范围及深浅不一的黄色，总结原因为灭菌炉内腔有空气残留，另有17次BD测试纸变色为外周黑，中间浅，原因为蒸汽质量不饱和；B组有20次BD试验失败, 图样中心均为深浅程度不一大小范围不同黄色. 结论 3M一次性B-D能够更准确地捕捉到灭菌炉及相关设施的故障，并且能够根据测试包中的测试纸变色后不同的颜色表现种类判断是空气残留问题还是蒸汽质量问题，从而能够快速准确地找到故障所在，及时维修，减少对日常灭菌工作的耽搁。 关键词:B-D测试包; 变色; 不合格；原因；分析 The Study and analysis of the Failed BD Test Color Change Patterns of Two Brand BD Packs The People’s Hospital of Nan Shan District, Shen Zhen, Guang Dong 518052 Zhang Li-nan Ni Deng-hui Liu Bi-yun Li Xiao-ni Tan Hui-fang Abstract: Objective To classify and analyze the failed BD test color change patterns of 2 BD Brands to lock the claves and their relative facility problems to avoid the delay to normal sterilization work. Method Carried out test with 2 groups of A and B, BD tests were done with 3M disposable BD test pack in Group A with 3M disposable BD test pack every odd day while BD tests were done in Group B with OTTO disposable BD test packs every even day, the BD tests were repeated at the same day with another Group if one group test failed to double check, analyzed the failed reasons, the clave could be operated only after 3 consecutive qualified BD tests and biologic indicator tests in both 2 groups. Totally did 760 BD tests, observed and analyzed the failed BD test times and the paper color change patterns. Result it had 30 BD tests failed in group A, among which, 13 had air left problem with yellow color in the circle. 17 tests had steam quality problem with gray and white color in the BD paper. For Group B, 20 tests failed with yellow circle in the BD paper center caused by air left or steam problem. Conclusion 3M BD test pack can