空气残留对灭菌过程影响研究及对灭菌监测意义.docVIP

空气残留对灭菌过程影响研究及对灭菌监测意义【摘要】目的探讨蒸汽灭菌过程中空气残留的可能原因以及由此对蒸汽灭菌过程产生的影响,为灭菌成功提供预防措施及可能的纠正方法。方法参考国内外蒸汽灭菌的监控和研究经验,以及相关国际国内标准,同时结合国内医院灭菌的实际情况以及经常出现的问题和工作人员的理解和做法。结果使用单一的具有代表性的检测体如标准的Bowie-Dick测试布包并不能对目前医疗领域所有的灭菌物品进行监测,普通包内卡不能监测管腔器械内部的灭菌效果,放置于管腔器械外表面的生物指示物不能监测管腔器械内部的灭菌效果,纸质的一次性标准包或者自己制作的棉布包不能对管腔器械内部的灭菌效果起到任何监测作用。结论作为灭菌合格放行的依据尤其是管腔器械内部的灭菌监测要使用能够代表一个灭菌批次中最难灭菌的过程挑战装置(PCD)。 【关键词】蒸汽灭菌过程非冷凝气体灭菌过程挑战装置化学指示物 中国图分类号:R122 文献标识码:A 文章编号:1005-0515(2010)08-041-04 The influence of inefficient air removal on sterilization process and meaning for sterilization monitoring HE Yonghong,DENG YingHui 【Abstract】Objectiveto explore the possible reason for inefficient air removal during sterilization process and the effect on sterilization result, provide possible methods for prevention and correction to an inefficient sterilization. MethodesUsing international and national reference to the monitor and research experience in steam sterilization process, in combination with related international and national standards, the real situation, frequent problemsand normal thinking and measures of the operators in CSSD department during sterilization work in domestic hospitals. ResultsThe standard Bowie-Dick Test is not representative for the normal sterilization instruments and can not be used as a challenge PCD for the monitoring, normal packet indicator can not monitor the inside of hollow instruments. e.g MIS instruments, biological indicator outside of hollow instruments can not monitor the inside, disposable paper test pack and standard cotton pack can not monitor the sterilization efficiency inside of any hollow instruments. Conclusionsa process challenge device(PCD) which is the most difficult to be sterilized in one batch should be used as a standard for sterilization monitoring, especially for monitoring of the inside of hollow instruments. 【Key words】Steam sterilization processNon condensable gases (NCG)Process Challenge Device(PCD)Chemical indicator 非冷凝气体(NCG)是指在灭菌过程中不能凝结成液态的气体