内镜清洗刷对铜绿假单胞菌清除效果的研究.pdfVIP

·1288 · Chinese Journal of Disinfection 2014 ;31 (12) 【论著】 内镜清洗刷对铜绿假单胞菌 清除效果的研究 黄 茜，马久红，汤胜男，胡雪飞 (南昌大学第一附属医院，江西南昌330006) 摘要 目的 研究不同清洗刷对污染铜绿假单胞菌的内镜清洗效果，为更有效消毒内镜提供参考。方法 通过细 菌定量检测方法，对不同清洗刷清洗消毒内镜的效果作出评价。结果 不同清洗刷处理后的残余细菌计数结果进 行比较总体差异有统计学意义;不同清洗次数的残余细菌计数方差分析结果比较差异有统计学意义。各因素不同 水平间的多重比较，清洗刷组的变量间比较结果示尼龙毛刷组和圆盘刷组之间的差异都有统计学意义。结论 使 用圆盘刷刷洗两次能够最佳地清除模拟内镜管内的铜绿假单胞菌。 关键词 内镜;铜绿假单胞菌;清洗刷;清洗效果 中图分类号:Ｒ187 文献标识码:A 文章编号:1001 － 7658 (2014)12 － 1288 － 03 ＲESEAＲCH ON THE EFFECTS OF ENDOSCOPY CLEANING BＲUSHES IN ＲEDUCING Pseudomonas aeruginosa H UANG Xi ，MA Jiu － hong ，TANG Sheng － nan ，H U Xue －f ei (The First Affiliated Hospital of Nanchang University ，Nanchang Jiangxi 330006 ，China) Abstract Objective To study the cleaning effect of different brushes for endoscopies soiled by Pseudomonas Aeruginosa so as to provide references for better endoscopy reprocessing. Methods The cleaning effects of different brushes were eval- uated by collecting the residual bacteria counts. Ｒesults Colony count results of Pseudomonas Aeruginosa showed that cleaning brushes and cleaning frequency had significant differences. The wiper brush was better in reducing the residue of Pseudomonas Aeruginosa than that of nylon brush. Cleaning twice or three times could reduce more bacteria than cleaning once. Conclusion Cleaning twice with wiper brush has better effect of removal Pseudomonas Aeruginosa on Teflon tube. Key words endoscopy ;Pseudomonas aeruginosa ;cleaning brushes ;cleaning effects. 铜绿假单胞菌是消化内镜常见污染的致病菌， 1 方法 而该细菌是医院感染最严重的耐药性致病菌之 〔1 〕 一 ，因其具有粘附能力