Đánh giá hạn sử dụng của các phương pháp tiệt khuẩn khác nhau tại Bệnh viện Đại học Y Dược TP. Hồ Chí Minh=Shelf life of sterilized packed items stored in CSSD of a Vietnam University Medical Center

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Tâm Dương, Kim Ngân Hoàng, Minh Tuấn Huỳnh, Võ Hồng Tuyết Lê, Thị Mộng Hương Lữ, Đỗ Phương Thảo Nguyễn, Thị Mộng Huyền Nguyễn, Vũ Hoàng Yến Nguyễn, Thị Thủy Phạm, Hồng Vân Thái, Thị Châm Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.108-115

Bộ sưu tập: Metadata

ID: 478198

Thêm vào giỏ

In University Medical Center Ho Chi Minh City (UMC), shelf life of sterilized packed items has been followed by time-related principle. However, duration of sterility has not been based on strong scientific evidence. Objective: To determine the most appropriate shelf life for sterilized products according to packaging material and sterilization methods. Method: All the experimental and the controlv samples (surgical instruments and linen) were prepared by four types of packaging materials (peel pouches, nonwoven, linen, and rigid container) and three types of sterilization methods (steam, Hydrogen Peroxide, Ethylene Oxide). After sterilization, sterilized samples were stored at CSSD’s storage and tested for microbial contamination in 07 periods: after 07 days, 14 days, 01 month, 03 months, 06 months, 12 months, and 18 months. Results: Positive microbial cultures were seen in 0.44% (07 samples) of 1,574 samples. Up to 18 months, no organisms was cultured from any sample of autoclaved surgical instrument packages wrapped in peel pouches, nonwoven, linen, (2) Hydrogen Peroxide sterilized surgical instrument packages wrapped in nonwoven, (3) Ethylene Oxide sterilized surgical instrument packages, and (4) autoclaved linen packages wrapped in nonwoven. Organisms detected were both Gram–Positive and Gram-Negative bacteria. There was a statistically significant relationship between positive experimental samples and packaging materials (p<
0.05). Conclusions: Based on results of this experiment, shelf life of sterilized packed items should be still followed by timerelated principle in UMC. The currently shelf life can be extended to reduce unnecessary costs and increase the usage rotation.Tại Bệnh viện Đại học Thành phố Hồ Chí Minh (BVĐHYD), hạn sử dụng dụng cụ phẫu thuật (DCPT) /đồ vải phẫu thuật (ĐVPT) tiệt khuẩn (TK) được quy định theo thời gian. Tuy nhiên, thời gian duy trì tính vô khuẩn cần phải được xác định dựa trên bằng chứng khoa học mạnh mẽ. Mục tiêu: Đánh giá tính vô khuẩn DCPT, ĐVPT đóng gói bằng vật liệu và phương pháp TK khác nhau đang áp dụng tại BVĐHYD. Phương pháp: Đây là nghiên cứu cắt ngang, thực hiện tại BVĐHYD từ 2022 đến 2024. Các mẫu được đóng gói bằng bốn loại vật liệu (túi ép, vải không dệt, champs vải và hộp chuyên dụng) và TK với ba phương pháp (nhiệt độ cao bằng hơi nước (Autoclave), nhiệt độ thấp bằng Hydrogen Peroxide (H2O2), nhiệt độ thấp bằng Ethylene Oxide (EO)). Sau TK, các mẫu được lưu trữ tại kho vô khuẩn CSSD. Đánh giá tính vô khuẩn qua 07 giai đoạn: sau lưu kho 07-14 ngày, 01-03-06-12-18 tháng. Kết quả: Có 1.574 mẫu được nghiên cứu. Trong đó, có 07 mẫu (0,44%) được đánh giá là không vô khuẩn. Tác nhân phân lập được là vi khuẩn (VK) Gram âm và Gram dương. Sau 18 tháng lưu trữ tại kho vô khuẩn, không phát hiện được VK ở các mẫu nhóm DCPT tiệt khuẩn Autoclave đóng gói túi ép, vải không dệt và săng vải
(2) nhóm DCPT tiệt khuẩn H2O2 đóng gói vải không dệt, (3) nhóm DCPT tiệt khuẩn EO và (4) nhóm ĐVPT tiệt khuẩn Autoclave đóng gói vải không dệt. Có mối liên quan có ý nghĩa thống kê giữa các mẫu dương tính với vật liệu đóng gói (p<
0,05). Kết luận: Dựa trên kết quả của nghiên cứu này, hạn sử dụng của các gói DCPT, ĐVPT tiệt khuẩn tại BVĐHYD vẫn nên được quy định theo nguyên tắc thời gian. Tuy nhiên, quy định hạn sử dụng hiện tại có thể được kéo dài thêm để tiết kiệm nguồn lực và tăng vòng quay sử dụng.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR