中国湖北省202个重症监护病房中可弯曲支气管镜的再处理状况：一项多中心横断面研究
Reprocessing status of flexible bronchoscopes in 202 intensive care units in Hubei province, China: a multicentre cross-sectional study.
作者信息
Yu Yaqi, Peng Weijun, Tan Li, Xiao Qi, Wang Yixuan, Guo Chunling, Deng Juan, Jiang Mengyao
机构信息
Nursing Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No.1095 Jiefang Avenue, Qiaokou District, Wuhan, 430030, Hubei Province, China.
Administration Department of Nosocomial Infection, Tongji Medical College, Huazhong University of Science and Technology, No.1095, Jiefang Avenue, Wuhan, China.
出版信息
Antimicrob Resist Infect Control. 2025 Jun 17;14(1):69. doi: 10.1186/s13756-025-01593-8.
BACKGROUND
Unstandardised reprocessing procedures for flexible endoscopes can lead to infection outbreaks and threaten the lives of ICU patients. Despite recent updates to technical specification, there was a paucity of studies on the current status of flexible endoscopic reprocessing, particularly concerning flexible bronchoscopes (FB). This study aimed to assess the current practices of reprocessing FBs in ICUs in Hubei Province, China.
METHODS
A cross-sectional study was conducted utilizing convenience sampling from October 11, 2024, to December 6, 2024, in the ICUs of 216 hospitals in Hubei Province, China. A self-developed questionnaire was distributed through an online survey platform to either the person in charge of the ICU or the frontline technicians. The information regarding the reprocessing of FBs was collected, including general characteristics, personnel and training, layout and facilities, reprocessing operations, and reprocessing quality monitoring.
RESULTS
The content validity index of the questionnaire was 0.94. There were 202 valid questionnaires collected with a validity rate of 93.52%, including 158 ICUs in tertiary hospitals and 44 in secondary and primary hospitals. The ICUs of tertiary hospitals were better than the ICUs of secondary and primary hospitals in terms of the number of FBs available, the number of dedicated technicians, the opportunity for training, the availability of some equipment and facilities (ultrasonic cleaners, whole tube irrigators, etc.), and some reprocessing operations (FB sterilisation method and storage cabinet sterilisation frequency) (P < 0.05).
CONCLUSIONS
There were variations in FB reprocessing practices across ICUs in hospitals of all levels in Hubei, along with some common issues. Most ICUs were standardised in personnel training, operation, and recording, and ICUs in tertiary hospitals behaved better than in secondary and primary hospitals. However, there remained a need for improvement in the layout of the reprocessing environment, equipment configuration, and quality monitoring. Future research could apply implementation science to identify barriers and propose strategies to align practice with guidelines.
背景
软性内镜的再处理程序不规范可能导致感染暴发，并威胁重症监护病房（ICU）患者的生命。尽管技术规范最近有所更新，但关于软性内镜再处理现状的研究较少，尤其是关于软性支气管镜（FB）的研究。本研究旨在评估中国湖北省ICU中FB再处理的当前实践情况。
方法
于2024年10月11日至2024年12月6日，在中国湖北省216家医院的ICU中采用便利抽样法进行了一项横断面研究。通过在线调查平台向ICU负责人或一线技术人员发放自行编制的问卷。收集有关FB再处理的信息，包括一般特征、人员与培训、布局与设施、再处理操作以及再处理质量监测。
结果
问卷的内容效度指数为0.94。共收集到202份有效问卷，有效率为93.52%，其中三级医院的ICU有158家，二级和一级医院的ICU有44家。在可用FB数量、专职技术人员数量（人次数）、培训机会、一些设备和设施（超声波清洗器、全管道冲洗器等）的配备情况以及一些再处理操作（FB消毒方法和储物柜消毒频率）方面，三级医院的ICU优于二级和一级医院的ICU（P < 0.05）。
结论
湖北省各级医院的ICU在FB再处理实践方面存在差异，也存在一些共同问题。大多数ICU在人员培训、操作和记录方面较为规范，三级医院的ICU表现优于二级和一级医院。然而，在再处理环境布局、设备配置和质量监测方面仍有改进的空间。未来的研究可以应用实施科学来识别障碍，并提出使实践与指南保持一致的策略。
Zotero 插件