一种新型内镜清洁刷对十二指镜污染的影响
Koen van der Ploeg1,2, Cynthia P Haanappel2, Anne F Voor In 't Holt2
1Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center Rotterdam, Rotterdam, Netherlands.
一种新的十二指镜清洁刷显著降低了污染率,减少了肠道或口腔来源微生物 (MGO) 的阳性培养. 这一创新预计将降低内镜相关感染 (EAI) 的风险.
科学领域:
- 在医疗保健机构的感染控制.
- 医疗器械再加工 医疗器械再加工
- 胃肠病学和内镜检查
背景情况:
- 目前的十二指镜再加工方法不足以防止污染.
- 与内镜相关的感染 (EAI) 对患者的安全构成风险.
- 对再处理方案的调整是必要的,以提高患者的安全性.
研究的目的:
- 为了评估新型内镜清洁刷对十二指镜污染的影响.
- 评估新刷子实施后肠道或口腔来源微生物 (MGO) 的减少情况.
- 为了确定新的刷子在提高十二指望镜清洁度方面的有效性.
主要方法:
- 回溯性干预前后研究设计.
- 对从2018年3月到2022年6月的十二指镜监视培养结果的分析.
- 在2020年12月推出扫设计的内镜清洁刷,用于手动清洁.
- 后勤混合效应建模以评估干预效应.
主要成果:
- 与MGO的污染率从新刷实施前的45.5%降至新刷实施后的17.3%.
- 用新的刷子清洗的十二指镜显示MGO污染的几率明显降低 (aOR 0.25,P=0.001).
- 干预后观察到积极培养组的大幅减少.
结论:
- 新的内镜清洁刷有效地减少了手动清洁过程中的MGO污染.
- 预计这种刷子的实施将减少EAI的发生率.
- 建议进行进一步的前性随机研究来证实这些发现.
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