Bucx M J, Dankert J, Beenhakker M M, Harrison T E
Department of Anaesthesia, Academic Medical Center, University of Amsterdam, The Netherlands.
Br J Anaesth. 2001 Jan;86(1):99-102. doi: 10.1093/bja/86.1.99.
In this study the decontamination procedures of laryngoscopes in Dutch hospitals are described, based on a structured telephone questionnaire. There were substantial differences between decontamination procedures in Dutch hospitals and the standards of the APIC (Association of Professionals in Infection Control and Epidemiology), CDC (Centers of Disease Control) and ASA (American Society of Anesthesiology) were met in full in 19.4% of the hospitals. The standards of manual decontamination, used in 78% of the 139 hospitals, were particularly disappointing; manual cleaning was considered inadequate in 22.9% of these hospitals and manual disinfection did not meet the standards of the APIC, CDC or ASA in any of these hospitals. Decontamination by instrument cleaning machines as a standard procedure was used in 30 (22%) hospitals. In three of these hospitals the blades were subsequently sterilized. We suggest adherence to the infection control guidelines of the CDC, APIC and ASA, until the safety of less conservative infection control practices are demonstrated.
在这项研究中，基于一份结构化电话调查问卷，描述了荷兰医院喉镜的去污程序。荷兰医院的去污程序之间存在显著差异，19.4%的医院完全符合美国感染控制与流行病学专业人员协会（APIC）、美国疾病控制中心（CDC）和美国麻醉医师协会（ASA）的标准。在139家医院中，78%的医院采用的手动去污标准尤其令人失望；在这些医院中，22.9%的医院认为手动清洁不充分，且这些医院中没有一家的手动消毒符合APIC、CDC或ASA的标准。30家（22%）医院将仪器清洗机去污作为标准程序。在其中三家医院，随后对刀片进行了灭菌处理。我们建议遵守CDC、APIC和ASA的感染控制指南，直到证明较不保守的感染控制措施的安全性。
