CAJ | 학술논문

目的：分析海南省口腔器械的清洗消毒现状，探讨适合的口腔器械清洗消毒管理模式。方法按医院等级进行分层随机抽样，对海南省24所医院器械清洗处理模式、清洗消毒间布局、清洗处理方法和设施、清洗人员的防护、清洗人员的培训情况进行问卷调查。结果由消毒供应中心集中处理器械的医院共有14所（58．33％）。三级医院和二级医院都有独立清洗消毒间，设有专职清洗消毒人员，布局合理；清洗人员防护设施应用到位，有接受相关清洗消毒工作培训，清洗流程符合规范要求。10所一级及以下医院仅有1所（10．00％）清洗消毒间的布局合理；设有专职清洗消毒人员的有3所（30．00％）医院；基本未进行清洗消毒人员的相关培训且防护不到位，大部分清洗消毒设施及清洗流程不符合要求。三、二、一级医院的ATP生物荧光法评价器械清洗消毒的合格率分别为100．00％、90．00％、80．00％。结论一级及一级以下医院存在的问题普遍而且突出，建议实行区域化消毒供应管理模式，最大程度实现消毒供应中心资源的优化配置。
목적：분석해남성구강기계적청세소독현상，탐토괄합적구강기계청세소독관리모식。방법안의원등급진행분층수궤추양，대해남성24소의원기계청세처리모식、청세소독간포국、청세처리방법화설시、청세인원적방호、청세인원적배훈정황진행문권조사。결과유소독공응중심집중처리기계적의원공유14소（58．33％）。삼급의원화이급의원도유독립청세소독간，설유전직청세소독인원，포국합리；청세인원방호설시응용도위，유접수상관청세소독공작배훈，청세류정부합규범요구。10소일급급이하의원부유1소（10．00％）청세소독간적포국합리；설유전직청세소독인원적유3소（30．00％）의원；기본미진행청세소독인원적상관배훈차방호불도위，대부분청세소독설시급청세류정불부합요구。삼、이、일급의원적ATP생물형광법평개기계청세소독적합격솔분별위100．00％、90．00％、80．00％。결론일급급일급이하의원존재적문제보편이차돌출，건의실행구역화소독공응관리모식，최대정도실현소독공응중심자원적우화배치。
Objective To analyze the present situation of the dental instrument cleaning and disinfection in Hainan province and to explore the management mode of dental instrument cleaning and disinfection which is suitable for the provincial situation .Meth-ods By adopting the stratified random sampling method according to the hospital grades ,24 hospitals in Hainan province were per-formed the questionnaire survey on the cleaning mode of oral instruments ,layout of cleaning and disinfection room ,cleaning method and facilities ,protection measures and training of cleaning staff .Results 14 hospitals (58 .33% ) had the sterilization and supply center for conducting the centralized processing on the dental instruments .The tertiary hospitals and the second-grade hospitals had the independent cleaning and disinfection rooms with the rational layout and professional cleaning staff ;the safeguard facilities had the application in place ,the training of the related cleaning and disinfection work and the cleaning process conformed the require-ment of the standards .Among 10 first-grade and below hospitals ,only 1 hospital(10 .00% ) had the rational layout of cleaning and disinfection rooms ;3 hospitals(30 .00% ) had the professional cleaning staff ;the related training of the cleaning staff was not basi-cally carried out and the safeguard was not in place ,most of the cleaning and disinfection instruments and the cleaning process were not in accordance with the requirements .The qualification rates of instruments cleaning and disinfection in different grades of hospi-tals by the ATP bioluminescence assay were 100 .00% ,90 .00% and 80 .00% .Conclusion The existing problems are general and prominent in the hospitals of the first-grade and below .It is suggested that the regionalized disinfection and supply management mode is implemented for maximally realizing the optimized resource configuration in the disinfection and supply center .