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Outbreaks associated with duodenoscopes: new challenges and controversies.与十二指肠镜相关的疫情:新挑战与争议
Curr Opin Infect Dis. 2016 Aug;29(4):407-14. doi: 10.1097/QCO.0000000000000290.
2
Carbapenem-resistant Enterobacteriaceae and endoscopy: An evolving threat.耐碳青霉烯类肠杆菌科细菌与内镜检查:一种不断演变的威胁。
Am J Infect Control. 2016 Sep 1;44(9):1032-6. doi: 10.1016/j.ajic.2016.03.029. Epub 2016 May 11.
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Occupational health risks associated with the use of germicides in health care.医疗保健中使用杀菌剂相关的职业健康风险。
Am J Infect Control. 2016 May 2;44(5 Suppl):e85-9. doi: 10.1016/j.ajic.2015.11.030.
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Superbugs on Duodenoscopes: the Challenge of Cleaning and Disinfection of Reusable Devices.十二指肠镜上的超级细菌:可重复使用设备的清洁与消毒挑战
J Clin Microbiol. 2015 Oct;53(10):3118-25. doi: 10.1128/JCM.01394-15. Epub 2015 Jul 22.
5
ERCP scopes: what can we do to prevent infections?内镜逆行胰胆管造影(ERCP)内镜:我们能采取什么措施预防感染?
Infect Control Hosp Epidemiol. 2015 Jun;36(6):643-8. doi: 10.1017/ice.2015.98.
6
Endoscopic retrograde cholangiopancreatography-associated AmpC Escherichia coli outbreak.内镜逆行胰胆管造影术相关的AmpC型大肠杆菌暴发
Infect Control Hosp Epidemiol. 2015 Jun;36(6):634-42. doi: 10.1017/ice.2015.66. Epub 2015 Mar 30.
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Avoiding needlestick injuries: establishing a culture of safety in the or.
AORN J. 2014 Dec;100(6):686-9. doi: 10.1016/j.aorn.2014.09.004. Epub 2014 Nov 22.
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Risk of transmission of carbapenem-resistant Enterobacteriaceae and related "superbugs" during gastrointestinal endoscopy.碳青霉烯类耐药肠杆菌科细菌及相关“超级细菌”在胃肠内镜检查期间的传播风险。
World J Gastrointest Endosc. 2014 Oct 16;6(10):457-74. doi: 10.4253/wjge.v6.i10.457.
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Gastrointestinal endoscopes: a need to shift from disinfection to sterilization?胃肠内镜:是否需要从消毒转向灭菌?
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Designing and developing a central sterile supply department.
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卫生保健机构中仪器的消毒和灭菌的 APSIC 指南。

APSIC guidelines for disinfection and sterilization of instruments in health care facilities.

机构信息

1Infection Prevention & Control, Singapore General Hospital, Singapore, 169608 Singapore.

Hong Kong Infection Control Nurses Association (HKICNA), Hong Kong, Hong Kong.

出版信息

Antimicrob Resist Infect Control. 2018 Feb 20;7:25. doi: 10.1186/s13756-018-0308-2. eCollection 2018.

DOI:10.1186/s13756-018-0308-2
PMID:29468053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5819152/
Abstract

BACKGROUND

The Asia Pacific Society of Infection Control launched its revised Guidelines for Disinfection and Sterilization of Instruments in Health Care Facilities in February 2017. This document describes the guidelines and recommendations for the reprocessing of instruments in healthcare setting. It aims to highlight practical recommendations in a concise format designed to assist healthcare facilities at Asia Pacific region in achieving high standards in sterilization and disinfection.

METHOD

The guidelines were revised by an appointed workgroup comprising experts in the Asia Pacific region, following reviews of previously published guidelines and recommendations relevant to each section.

RESULTS

It recommends the centralization of reprocessing, training of all staff with annual competency assessment, verification of cleaning, continual monitoring of reprocessing procedures to ensure their quality and a corporate strategy for dealing with single-use and single-patient use medical equipment/devices. Detailed recommendations are also given with respect to reprocessing of endoscopes. Close working with the Infection Prevention & Control department is also recommended where decisions related to reprocessing medical equipment/devices are to be made.

CONCLUSIONS

Sterilization facilities should aim for excellence in practices as this is part of patient safety. The guidelines that come with a checklist help service providers identify gaps for improvement to reach this goal.

摘要

背景

亚太感染控制学会于 2017 年 2 月发布了修订后的《医疗机构医疗器械消毒灭菌指南》。本文档介绍了医疗机构医疗器械再处理的指南和建议。其目的是用简洁的格式突出实用建议,以协助亚太地区的医疗机构达到高标准的消毒和灭菌。

方法

该指南由亚太地区的专家组成的指定工作组修订,修订前对各章节相关的已发布指南和建议进行了审查。

结果

建议集中处理、对所有员工进行年度能力评估培训、验证清洗效果、持续监测再处理程序以确保其质量,以及制定处理一次性和单病人使用医疗器械的企业策略。还对内镜的再处理提出了详细的建议。与感染预防与控制部门密切合作,以做出与医疗器械再处理相关的决策。

结论

消毒设施应追求卓越的实践,因为这是患者安全的一部分。附有检查表的指南可帮助服务提供商发现需要改进的差距,以实现这一目标。