浅谈内镜的洗消与交叉感染的防范（Prevention and treatment of endoscopic decontamination and cross infection）.docVIP

浅谈内镜的洗消与交叉感染的防范（Prevention and treatment of endoscopic decontamination and cross infection） Prevention and treatment of endoscopic decontamination and cross infection Our country has introduced the digestive endoscopy in 1970s, with the increasing amount of endoscopic examination, early with the flow of washing, alcohol wipe and cross infection rate caused by cleaning and disinfection bucket method has been confirmed. Recently, the Ministry of health has further stressed the need to strengthen the endoscopic decontamination work, so we must pay attention to endoscopic decontamination work, and strive to prevent cross infection. 1 use of disinfectants At present, strict prevention and control of blood borne diseases, to ensure peoples health and safety, to further implement the national Ministry of health of endoscopic cleaning and disinfection technology specifications requirement of all provinces, city and county hospitals are using high level disinfectant, mainly for 2% glutaraldehyde, 6% acetic acid, two phosphorus benzene formaldehyde, acidified water. Because of the market price of 6% peracetic acid and phosphorus benzene two formaldehyde, and the disinfection effect is less than 2% glutaraldehyde and acidified water, so we used 2% glutaraldehyde and acidified water at present. At the National Conference on digestion in 2002, hospitals in China now use 1 of highly effective disinfectants, accounting for 76% and 77.9% respectively, while the national survey of Japan was 87.1% [1]. Glutaraldehyde has strong toxicity, as a kind of tissue fixation agent, can make the protein denaturation and aggregation of solidification, the formation of crystals in the endoscopic surface and lumen, once the cleaning is not thorough crystallization will lead to: (1) cross infection; (2) and endoscopic hardening and rough accelerated aging, also increases the chance of breakage pliers; (3) pipeline and aspirated, easy to plug the channel to send; (4) the mirror blurred; (5) endosco