亚太地区的外科植入物绝育:对当前实践的调查
Wing Hong Seto1, Patricia Tai Yin Ching1
1School of Public Health, University of Hong Kong, Hong Kong, China.
Infection, disease & health
|March 28, 2025
概括
在一些亚洲国家,对植入物负载的灭菌监测是不一致的,许多设施没有使用适当的过程挑战装置 (PCD) 或生物指标 (BI). 即时使用蒸汽杀菌 (IUSS) 也很常见,对患者的安全构成风险.
科学领域:
- 预防与医疗保健相关的感染
- 医疗器械灭菌医疗器械的灭菌.
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 在医疗保健中获得的感染通常与不当消毒的医疗设备,特别是手术植入物有关.
- 卫生组织为含有植入物的负载提供了关于杀菌监测的指导,以防止感染.
研究的目的:
- 评估西太平洋地区 (WPR) 和东南亚地区 (SEAR) 含有植入物的绝育实践.
- 评估与国际卫生组织指导方针的一致性.
- 确定影响绝育实践的因素.
主要方法:
- 在7个WPR国家和3个SEAR国家的设施中进行了一项调查.
- 调查的重点是灭菌实践,特别是关于含有植入物的负载.
- 对实践进行了评估,根据卫生组织的指导方针进行评估.
主要成果:
- 21%的设施没有使用过程挑战装置 (PCD) 监测每个植入物负载,包括生物指标 (BI) 和5型化学指标 (CI).
- 27%在收到BI结果之前释放了植入物负载,29%缺乏多层托盘的CI放置指南.
- 43%的人经常使用即时使用蒸汽杀菌 (IUSS),通常使用借款仪器.
结论:
- 不适当的PCD使用和频繁的IUSS是SEAR和WPR国家面临的重大挑战.
- 标准化植入物负载监测和贷款仪表实践需要区域合作.
- 建议通过联盟制定共识文件和教育计划,以改善绝育实践.
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