Kanagalingam J, Zainal A, Georgalas C, Paun S, Tolley N S
Department of Otolaryngology-Head and Neck Surgery, St Mary's Hospital, London, UK.
J Laryngol Otol. 2002 Oct;116(10):817-22. doi: 10.1258/00222150260293637.
We present the results of a confidential telephone survey of ENT units in England on the disinfection of flexible fibre-optic nasendoscopes out-of-hours. The on-call residents of 124 units were contacted and questioned. In 35.1 per cent of units surveyed, the on-call resident was primarily responsible for cleaning the scopes after use. Only 46 per cent of these junior doctors had access to a chemical sterilant to allow for high-level disinfection of these scopes. Provision for disinfection of scopes was poorer in teaching hospitals and in units that served inner city populations. Only 12.1 per cent of Senior House Officers (SHOs) received any training in disinfection techniques and only 25.5 per cent of units kept a register of patients nasendoscoped out-of-hours for purposes of contact tracing.
我们公布了一项针对英格兰耳鼻喉科单位进行的关于非工作时间柔性纤维鼻咽喉镜消毒情况的保密电话调查结果。我们联系并询问了124个单位的值班住院医师。在接受调查的单位中,35.1%的单位,值班住院医师主要负责使用后清洁内镜。这些初级医生中只有46%能够获得化学消毒剂以对这些内镜进行高水平消毒。教学医院以及服务于市中心城区人群的单位,内镜消毒的条件较差。只有12.1%的高级住院医师接受过消毒技术培训,只有25.5%的单位为了接触者追踪目的,保存了非工作时间接受鼻咽喉镜检查患者的登记册。