運用ATP生物冷光反應技術比較四種消毒溶液於內視鏡室環境清潔之成效

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Title:	運用ATP生物冷光反應技術比較四種消毒溶液於內視鏡室環境清潔之成效 Using Adenosine Triphosphate Bioluminescence Technique to Compare the Effects of Currently Used Four Disinfection Methods on Cleaning Endoscopy Working Environment
Authors:	莊雅媛
Contributors:	醫務管理系陳珹箖陳俞成
Keywords:	Endoscopic examination is an invasive procedure. With current basic protective measures, there is still some risk of contamination by contacting patient’s saliva or stool. Pathogens may contaminate the surface of medical instruments or the hands of medical personnel and result in cross-spreading and drug-resistant microbial endemics. Choosing proper cleaning regimens are the key to reduce the contamination. Finding the most effective method to disinfect the working environment can reduce the nosocomial infection transmitted by endoscopy and the medical cost for treating it, and moreover, to ensure the medical quality and patient safety. From May 2018 to July 2018, this study was conducted in the endoscopic room of a medical center in southern Taiwan. We compared the disinfection efficacy of bleach, Klorsept disinfection tablet, 75% alcohol, Cavicide surface disinfectants with water. We selected the site-electronic endoscope adapter where the endoscopy was plugged into the light source as the test region according to our preliminary results testing contamination level in different sites of examination room. Samples were taken before and after cleaning using ATP bioluminescence technique to evaluate the levels of contamination. Our study revealed there were no difference in disinfection capability between water and other four disinfectants. Whereas, among the 4 disinfectants, bleach or Klorsept disinfection tablet showed better efficacy than 75% alcohol or Cavicide surface disinfectants (χ2=33.78, p=0.00). In conclusion, wiping the potential contaminated site with water is as good as using current commonly used disinfectant in removing the pathogens reside on the surface of objects. However, we would suggest to use water cleaning as the first step, followed by other disinfectants to clean endoscopy room or other potential contaminated environment in hospital. 內視鏡室消毒液 ATP生物冷光反應技術病人安全醫療品質 Endoscope room Disinfectant ATP bioluminescence technique Patient safety Medical quality
Date:	2019
Issue Date:	2020-12-09 14:43:42 (UTC+8)
Abstract:	由於內視鏡檢查具有一定侵入性，即使已配戴基礎防護措施，仍可能碰觸到病患唾液或糞水，使致病原可藉此污染醫療設備表面或醫療人員手部接觸，造成交叉散播及抗藥性微生物流行等危險產生。良好的清潔措施是減少傳染病傳播的關鍵，因此本研究以南部某醫學中心之內視鏡室，選定「電子式內視鏡轉接頭」為試驗區域，採五組比較設計，以便利取樣方式，於2018年5月至7月間，透過ATP生物冷光反應技術進行清潔前後採樣，比較漂白水、Klorsept消毒錠、75%酒精、Cavicide複方消毒液與清水擦拭環境的成效差異，期望最終研究結果能夠有效提供輔助調整院內環境清潔方式，落實院內零感染及保護病人受檢安全。本研究結果顯示不論是使用清水或四種消毒溶液效果彼此之間並無差異，然僅就比較四種消毒液結果，則顯示漂白水與Klorsept消毒錠效果均較75%酒精與Cavicide複方消毒液效果更佳（χ2=33.78, p=0.00）；本研究結果使用清水進行環境擦拭效果不劣於使用消毒溶液，確立先以清水進行初次擦拭環境的有效性與重要性，應去除大部分髒汙與微生物後再行二次消毒，方可確保達到有效清潔及殺菌的效果。
Relation:	電子全文公開日期：2024-07-05 學年度：107，51頁
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Dissertations and Theses

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