Tremain S C
Department of Family Practice, School of Medicine, University of California at Davis, USA.
Prim Care. 1995 Sep;22(3):471-8.
Cleaning and disinfection are two necessary and equally important steps to prevent transmission of infection from patient to patient by the endoscope and accessories. There is no evidence that complete sterility is necessary; high-level disinfection is recommended. Controversy remains as to how "high level" this disinfection must be. It is important that these processes not become complicated, difficult, or intimidating. They must be efficacious and yet safe for the scope as well as for the attending staff. It is strongly recommended that the clinician fully understands the cleaning and disinfection steps and not inhibit his or her staff's ability to perform them correctly. It is important that we use these relatively new and important diagnostic equipment tools to improve the health of the public. There are several studies now that suggest that screening flexible sigmoidoscopies may be of value in decreasing mortality from colonic adenocarcinomas. It is important that we remain focused on our overall mission while at the same time "do no harm."
清洁和消毒是防止通过内窥镜及附件在患者之间传播感染的两个必要且同等重要的步骤。没有证据表明需要达到完全无菌状态；建议进行高水平消毒。关于这种消毒必须达到何种“高水平”仍存在争议。重要的是，这些流程不应变得复杂、困难或令人生畏。它们必须对内镜以及医护人员有效且安全。强烈建议临床医生充分理解清洁和消毒步骤，且不要妨碍其工作人员正确执行这些步骤的能力。重要的是，我们要利用这些相对新颖且重要的诊断设备工具来改善公众健康。现在有几项研究表明，筛查性乙状结肠镜检查可能对降低结肠腺癌死亡率有价值。重要的是，我们在专注于总体使命的同时，也要“不造成伤害”。
