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目的:探讨外来器械在脉动真空高压蒸汽灭菌器在灭菌过程中出现湿包现象原因及整改措施。方法:调查2015年2月--2015年4月消毒供应中心灭菌的外来器械出现湿包的原因进行分析,采取相应的整改措施。结果:2015年2月-5月共灭菌外来器械218件,湿包9件,经过对湿包原因分析并采取对策后,未出现湿包发生。结论:外来器械超重、超大,出现湿包则灭菌屏障性能将受到破坏,严重影响医疗工作的正常进行,不能保障患者安全,因此加强外来器械管理控制湿包是消毒供应中心的重要职责。
OBJECTIVE: To investigate the reason of wet bag phenomenon of foreign instruments in the process of sterilization of pulsating vacuum autoclave and its rectification measures. Methods: To investigate the causes of wet packs in foreign instruments sterilized in disinfection and supply center from February 2015 to April 2015, and to investigate and rectify the causes. Results: From February to May 2015, a total of 218 foreign instruments were sterilized and 9 wet packs. After analyzing the causes of wet packs and taking countermeasures, no wet packs occurred. Conclusion: Exotic instruments are overweight and oversized, and the performance of the sterilization barrier will be damaged when the wet packs are applied. This will seriously affect the normal operation of the medical treatment and will not guarantee the safety of the patients. Therefore, strengthening the wet instrument management by external instruments is an important responsibility of the disinfection supply center.