Please wait a minute...
浙江大学学报（医学版）
浙江大学学报（医学版）  2020, Vol. 49 Issue (5): 603-608    DOI: 10.3785/j.issn.1008-9292.2020.10.09
2019冠状病毒病     
正压送风过滤式防护头罩复用处理流程的建立
莫军军(),黄芳,吕蓓,沈红梅,王群,许骁玮*(),柴秦明
浙江大学医学院附属第一医院消毒供应中心, 浙江 杭州 310003
Reuse process of positive pressure powered air-filter protective hoods
MO Junjun(),HUANG Fang,LYU Bei,SHEN Hongmei,WANG Qun,XU Xiaowei*(),CHAI Qinming
Central Sterile Supply Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
 全文: PDF(1330 KB)   HTML( 3 )
摘要：

目的: 建立2019冠状病毒病（COVID-19）疫情期间医用正压送风过滤式防护头罩再处理流程，确保头罩复用处理的消毒效果和质量。方法: 建立消毒供应中心对医护人员救治COVID-19患者过程中使用的正压送风过滤式防护头罩的预处理和暂存流程、消毒供应中心回收流程、头罩清洗消毒及灭菌处理流程。采用放大镜目测法、蛋白清洗测试棒检测法、实时荧光聚合酶链反应法、琼脂倾注培养，分析经过处理后正压送风过滤式防护头罩清洗消毒效果。结果: 25件正压送风过滤式防护头罩共经过135件次清洗消毒和灭菌处理，清洗后蛋白质残留量检测、病毒核酸检测均为阴性；灭菌后物品无菌性检测合格，头罩无损伤，质量安全可靠。结论: 采用使用科室预处理、消毒供应中心集中清洗消毒及环氧乙烷灭菌流程对救治COVID-19患者使用后的正压送风过滤式防护头罩进行复用处理是安全可行的。
关键词： 2019冠状病毒病;  严重急性呼吸综合征冠状病毒2;  正压送风过滤式防护头罩;  复用;  清洗;  消毒;  流程    
Abstract:

Objective: To establish reuse process of positive pressure powered air-filter protective hoods during coronavirus disease 2019 (COVID-19) epidemic. Methods: The procedure of pretreatment, storage, recovery, cleaning, disinfection and sterilization process of positive pressure powered air-filter protective hoods, which were used in the treatment of COVID-19 infection patients was established in Central Sterile Supply Department of the hospital. The cleaning and disinfection effects of the protective hoods after treatment were examined by magnifying glass method, residual protein detection method, real-time PCR, and agar pour plate method. Results: Twenty five used protective hoods underwent totally 135 times of washing, disinfecting and sterilizing procedures. After washing, all the protein residue tests and COVID-19 nucleic acid tests showed negative results. After sterilizing, all the protective hoods met sterility requirement. All the tested protective hoods were undamaged after reprocessing. Conclusion: The established reuse procedures for used positive pressure powered air-filter protective hoods are safe.
Key words: Coronavirus disease 2019    Severe acute respiratory coronavirus 2    Positive pressure powered air-filter protective hood    Reuse    Cleaning    Sterilization    Process
收稿日期: 2020-03-10 出版日期: 2020-11-19
:  R472.1  
基金资助: 浙江省医药卫生科技计划(2018ZH010);浙江省重点研究计划应急攻关项目(2020C03123-06)
通讯作者: 许骁玮     E-mail: mojunjunshou@163.com;2692589651@qq.com
作者简介: 莫军军(1968-), 女, 学士, 副主任护师, 主要从事护理管理和消毒灭菌工作; E-mail:mojunjunshou@163.com; https://orcid.org/0000-0002-5465-2376
服务　　
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章　　
莫军军
黄芳
吕蓓
沈红梅
王群
许骁玮
柴秦明

引用本文:

莫军军,黄芳,吕蓓,沈红梅,王群,许骁玮,柴秦明. 正压送风过滤式防护头罩复用处理流程的建立[J]. 浙江大学学报（医学版）, 2020, 49(5): 603-608.

MO Junjun,HUANG Fang,LYU Bei,SHEN Hongmei,WANG Qun,XU Xiaowei,CHAI Qinming. Reuse process of positive pressure powered air-filter protective hoods. J Zhejiang Univ (Med Sci), 2020, 49(5): 603-608.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2020.10.09    或    http://www.zjujournals.com/med/CN/Y2020/V49/I5/603

图 1  正压送风过滤式防护头罩结构示意图
图 2  正压送风过滤式防护头罩的清洗消毒及灭菌处理流程图
1 于龙, 温占波, 李劲松 et al. 一种正压防护头罩病毒气溶胶防护效果观察[J]. 中国消毒学杂志, 2010, 27 (3): 257- 260
YU Long , WEN Zhanbo , LI Jinsong et al. Observation on the protective effect of a positive pressure powered air-filter protective hood against viral aerosol[J]. Chinese Journal of Disinfection, 2010, 27 (3): 257- 260
2 中国新闻网报道军事医科院研制成功中国首套埃博拉病毒防护装备[J].中华卫生应急电子杂志, 2015, 1(1): 80.
Chinanews.com reported that the Military Medical Academy has successfully developed China's first set of protection equipment against Ebola virus [J]. Chinese Health Emergency Electronic Magazine, 2015, 1(1): 80. (in Chinese)
3 田丰, 王政, 杨荆泉 et al. 正压送风过滤式防护头罩防护性能研究[J]. 生物医学工程学杂志, 2006, 23 (4): 766- 769
TIAN Feng , WANG Zheng , YANG Jingquan et al. Research on the protective performance of the positive pressure powered air-filter protective hood[J]. Journal of Biomedical Engineering, 2006, 23 (4): 766- 769
4 中华人民共和国国家卫生健康委员会.中华人民共和国国家卫生健康委员会公告2020年第1号[EB/OL].(2020-01-20)[2020-02-17]. http://www.nhc.gov.cn/jkj/s7916/202001/44a3b8245e8049d2837a4f27529cd386.shtml.
National Health Commission of the People's Republic of China. Announcement No.1 of 2020 by National Health Commission of the People's Republic of China[EB/OL]. (2020-01-20) [2020-02-17]. http://www.nhc.gov.cn/jkj/s7916/202001/44a3b8245e8049d2837a4f27529cd386.shtml. (in Chinese)
5 魏秋华, 任哲 . 2019新型冠状病毒感染的肺炎疫源地消毒措施[J]. 中国消毒学杂志, 2020, 37 (1): 59- 62
WEI Qiuhua , REN Zhe . Disinfection measures of 2019 new coronavirus-infected pneumonia source[J]. Chinese Journal of Disinfection, 2020, 37 (1): 59- 62
doi: 10.11726/j.issn.1001-7658.2020.01.019
6 王华芬, 冯洁惠, 邵乐文, 等.新型冠状病毒肺炎集中救护中护理部的应急管理策略[J/OL].中华护理杂志, 2020, 55(3): E002. DOI: 10.3761/j.issn.0254-1769.2020.03.005.
WANG Huafen, FENG Jiehui, SHAO Lewen, et al. Emergency management strategies of a nursing service department in the centralized rescue of coronavirus disease 2019[J/OL]. Chinese Journal of Nursing, 2020, 55(3): E002. DOI: 10.3761/j.issn.0254-1769.2020.03.005.(inChinese)
7 中华人民共和国国家卫生健康委员会办公厅.新型冠状病毒感染的肺炎防控方案(第三版)[EB/OL].(2020-01-28)[2020-02-17]. http://www.gov.cn/zhengce/zhengceku/2020-0l/29/5472893/files/2efb7f97b77d42-d6bf4baba8569ac73c.pdf.
General Office of the National Health Commission of the People's Republic of China. Pneumonia prevention and control plan for new coronavirus infection (third edition) [EB/OL]. (2020-01-28) [2020-02-17]. http://www.gov.cn/zhengce/zhengceku/2020-0l/29/5472893/files/2efb7f97b77d42-d6bf4baba8569ac73c.pdf. (in Chinese)
8 中华人民共和国国家卫生健康委员会办公厅.国家卫生健康委办公厅关于印发消毒剂使用指南的通知[EB/OL].(2020-02-19)[2020-02-19]. http://www.nhc.gov.cn/zhjcj/s9141/202002/b9891e8c86d141a08ec45c6a18e21dc2.shtml.
General Office of the National Health and Health Commission of the People's Republic of China. Notice of the General Office of the National Health and Health Commission on Issuing Guidelines for the use of disinfectants[EB/OL]. (2020-02-19) [2020-02-19]. http://www.nhc.gov.cn/zhjcj/s9141/202002/b9891e8c86d141a08ec45c6a18e21dc2.shtml. (in Chinese)
9 中华护理学会消毒供应中心专业委员会 . 新型冠状病毒肺炎疑似或确诊患者复用医疗器械物品处置流程专家共识[J]. 中华护理杂志, 2020, 55 (5): 683
Central Sterile Supply Department, Nursing Professional Committee, Chinese Nursing Association . Expert consensus on reprocessing procedures of reusable medical instruments for suspected or confirmed patients with coronavirus disease 2019[J]. Chinese Journal of Nursing, 2020, 55 (5): 683
doi: 10.3761/j.issn.0254-1769.2020.05.008
10 中华人民共和国国家卫生和计划生育委员会.WS 310.2—2016医院消毒供应中心第2部分: 清洗消毒及灭菌技术操作规范[S/OL].(2016-12-27)[2020-02-25]. http://www.nhc.gov.cn/wjw/s9496/201701/bba98c75171446849107254929595984.shtml.
National Health and Family Planning Commission of the People's Republic of China. WS 310.2—2016 Central sterile supply department (CSSD) Part 2: standard for operating procedure of cleaning, disinfection and sterilization[S/OL]. (2016-12-27)[2020-02-25]. http://www.nhc.gov.cn/wjw/s9496/201701/bba98c75171446849107254929595984.shtml. (in Chinese)
11 莫军军, 王群, 吕蓓 et al. 两种方法清洗达芬奇机器人手术器械的效果比较[J]. 护理与康复, 2016, 15 (11): 1087- 1088
MO Junjun , WANG Qun , LYU Bei et al. Comparison of the effects of two methods for cleaning Da Vinci robotic surgical instruments[J]. Nursing and Rehabilitation, 2016, 15 (11): 1087- 1088
doi: 10.3969/j.issn.1671-9875.2016.11.021
12 中华人民共和国卫生部.WS/T367—2012医疗机构消毒技术规范[S].北京: 中国标准出版社, 2012.
Ministry of Health of the People's Republic of China. WS/T367—2012 Disinfection technical specifications of medical institutions[S]. Beijing: China Standard Press, 2012. (in Chinese)
13 KAMMING D , GARDAM M , CHUNG F . Anaesthesia and SARS[J]. Br J Anaesth, 2003, 90 (6): 715- 718
doi: 10.1093/bja/aeg173
14 潘红 . 循证法应用于环氧乙烷灭菌质量控制的探讨[J]. 科技经济导刊, 2018, 26 (30): 113- 115
PAN Hong . Discussion on the application of evidence-based method in the quality control of ethylene oxide sterilization[J]. Science and Technology Guide, 2018, 26 (30): 113- 115
[1] 沈美萍, 童琳, 傅藏藏, 董帅, 汪天林, 祝国红, 徐红贞. 智能三合一预检在2019冠状病毒病疫情期间儿童医院门诊的应用[J]. 浙江大学学报（医学版）, 2020, 49(5): 656-661.
[2] 王群, 莫军军, 黄芳, 蒲瑛, 吕蓓. 医用护目镜三种清洗方法比较[J]. 浙江大学学报（医学版）, 2020, 49(5): 609-613.
[3] 秦建芬, 潘红英, 张熔熔, 汤磊雯, 毛霞文. 实施标准化痰标本采集法可提高人群痰标本获取率[J]. 浙江大学学报（医学版）, 2020, 49(5): 614-617.
[4] 马贻芳, 孟海燕, 王莺, 孙新星, 陈竹. 2019冠状病毒病老年患者双肺移植围手术期感染防护策略[J]. 浙江大学学报（医学版）, 2020, 49(5): 618-622.
[5] 王维丹,徐方忠,徐松泉,章健民,张宁. 突发公共卫生事件对公众心理的影响:2019冠状病毒病疫情期间浙江省心理援助热线来电分析[J]. 浙江大学学报（医学版）, 2020, 49(4): 409-418.
[6] 霍现洛,薛小花,袁淑绘,张佃春,高庆娥,巩涛. 胸部CT在2019冠状病毒病和支原体肺炎患者早期鉴别诊断中的价值[J]. 浙江大学学报（医学版）, 2020, 49(4): 468-473.
[7] 王金英,何江娟,朱建美,裘江英,王华芬,徐红贞. 2019冠状病毒病患者照护护士工作体验的质性研究[J]. 浙江大学学报（医学版）, 2020, 49(4): 480-486.
[8] 郭黎,柏石倩,范静怡. 2019冠状病毒病疫情期间湖北省医务人员未成年子女心理行为研究[J]. 浙江大学学报（医学版）, 2020, 49(4): 474-479.
[9] 何叶艳,郑婵颖. 三种人类高致病性冠状病毒的增殖和传播机制研究进展[J]. 浙江大学学报（医学版）, 2020, 49(3): 324-339.
[10] 伦永志,刘奔,董雯,孙杰,潘凌鸿. 两种严重急性呼吸综合征冠状病毒S蛋白结构特征及抗原表位比较[J]. 浙江大学学报（医学版）, 2020, 49(3): 315-323.
[11] 徐亦鸣,吕丹丹,应可净. 2019冠状病毒病(COVID-19)患者出凝血功能障碍的研究进展[J]. 浙江大学学报（医学版）, 2020, 49(3): 340-346.
[12] 胡燕,李晓峰,龚卫月. 2019冠状病毒病(COVID-19)危重型患者的营养支持治疗[J]. 浙江大学学报（医学版）, 2020, 49(3): 347-355.
[13] 王锦程,刘锦鹏,王园园,刘伟,陈小群,孙超,沈晓勇,汪启东,吴亚平,梁文杰,阮凌翔. 2019冠状病毒病(COVID-19)患者胸部CT影像学动态变化[J]. 浙江大学学报（医学版）, 2020, 49(2): 191-197.
[14] 张小燕, 孙伟, 尚世强, 毛建华, 傅君芬, 舒强, 江克文. 2019冠状病毒病(COVID-19)疫情期生物样本保藏生物安全防护原则及建议[J]. 浙江大学学报（医学版）, 2020, 49(2): 170-177.
[15] 曹盛力,冯沛华,时朋朋. 修正SEIR传染病动力学模型应用于湖北省2019冠状病毒病(COVID-19)疫情预测和评估[J]. 浙江大学学报（医学版）, 2020, 49(2): 178-184.