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Summary of the best evidence for cleaning quality management of phacoemulsification handles in ophthalmology
Objective To retrieve, evaluate and integrate the relevant evidences on the cleaning quality management of phacoemulsification handles at home and abroad, so as to provide guidance for clinical practice. Methods A comprehensive literature searching was conducted in International Guidelines Network, American Guidelines Network, BMJ Best Practice, PubMed, Wanfang Databases, and CNKI, et al. Guidelines, expert consensus, systematic review and evidence summary were all eligible. The time limit was set from the date of databases’ establishment to February 15, 2023. Results A total of ten literatures were included, including four practical guidelines, four expert consensuses, one systematic review and one evidence summary. Besides, 38 pieces of evidences were extracted and integrated into nine dimensions, including management requirements, environmental requirements, equipment and consumables requirements, personnel requirements, operation requirements, on-site pretreatment, recycling and transfer, cleaning and cleaning quality evaluation. Conclusion This study summarizes the best evidence for the cleaning quality management of phacoemulsification handles in ophthalmology, provides evidence-based reference for standardizing the cleaning quality management of phacoemulsification handles, and can provide evidence for improving the cleaning quality level of ophthalmic instruments and preventing and controlling the occurrence of hospital infection.
Lina DING , Zhuoya YAO , Junhui GENG , Meng ZHAN , Manchun LI , Junfeng WANG . Summary of the best evidence for cleaning quality management of phacoemulsification handles in ophthalmology[J]. Chinese Journal of Nursing Education, 2024 , 21(1) : 110 -118 . DOI: 10.3761/j.issn.1672-9234.2024.01.018
| [1] | 朱天文. 角膜散光对年龄相关性白内障患者术前泪膜稳定性影响的临床研究[D]. 南宁: 广西中医药大学, 2016. |
| [1] | Zhu TW. Clinical study on the effect of corneal astigmatism on the stability of tear film in patients with age-related cataract before operation[D]. Nanning: Guangxi University of Chinese Medicine, 2016. |
| [2] | Pascolini D, Mariotti SP. Global estimates of visual impair-ment:2010[J]. Br J Ophthalmol, 2012, 96(5):614-618. |
| [3] | 梁希希, 唐媛, 朱明善, 等. 白内障超声乳化手柄故障原因分析及改进对策[J]. 护理学报, 2021, 28(9):76-78. |
| [4] | 徐秋叶, 金伟平, 高帆. 改进眼内器械清洗质量对眼前节毒性综合征发病率的影响[J]. 浙江医学, 2019, 41(11):1215-1217. |
| [4] | Xu QY, Jin WP, Gao F. Effect of improving the cleaning qua-lity of intraocular instruments on the incidence of anterior segment toxic syndrome[J]. Zhejiang Med J, 2019, 41(11):1215-1217. |
| [5] | Sengupta S, Chang DF, Gandhi R, et al. Incidence and long-term outcomes of toxic anterior segment syndrome at Aravind Eye Hospital[J]. J Cataract Refract Surg, 2011, 37(9):1673-1678. |
| [6] | 陈佳丽, 陈慧, 阮红梅, 等. 白内障术后连台器械灭菌处理标准化流程的构建及应用[J]. 护士进修杂志, 2022, 37(24):2245-2247. |
| [6] | Chen JL, Chen H, Ruan HM, et al. Construction and application of standardized sterilization process for connecting instruments after cataract surgery[J]. J Nurses Train, 2022, 37(24):2245-2247. |
| [7] | 马思文, 孙怡雯, 陈茹, 等. 64家医院超声乳化手柄清洗管理现况调查[J]. 中国护理管理, 2022, 22(11):1659-1664. |
| [7] | Ma SW, Sun YW, Chen R, et al. A survey of the management of phacoemulsification handle cleaning in 64 hospitals[J]. Chin Nurs Manag, 2022, 22(11):1659-1664. |
| [8] | Park CY, Lee JK, Chuck RS. Toxic anterior segment syndrome-an updated review[J]. BMC Ophthalmol, 2018, 18(1):276. |
| [9] | AGREE Ⅱ -Users Manual and 23-item Instrument[EB/OL].(2017-10-15)[2022-01-10]. https://www.agreetrust.org/wp-content/uploads/2017/12/AGREE-Ⅱ-Users-Manual-and-23-item-Instrument-2009-Update-2017.pdf. |
| [10] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018. |
| [10] | Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018. |
| [11] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
| [11] | Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 Edition)[J]. J Nurses Train, 2015, 30(11):964-967. |
| [12] | 张青, 黄浩. 眼科手术器械清洗消毒及灭菌技术操作指南[M]. 北京: 北京科学技术出版社, 2016. |
| [12] | Zhang Q, Huang H. Operational guidelines for cleaning, disin-fection and sterilization of ophthalmic surgical instruments[M]. Beijing: Beijing Science & Technology Press, 2016. |
| [13] | 中华护理学会眼科护理专委会. 《超声乳化手术专用手术器械清洗、消毒、灭菌操作流程》专家共识[J]. 护理研究, 2022, 36(23):4137-4140. |
| [14] | 中国医师协会眼科医师分会, 中华预防医学会医院感染专业委员会, 中华预防医学会消毒分会, 等. 我国眼科手术管理、感染控制、消毒灭菌指南(一)[J]. 中华眼科杂志, 2016, 52(3):167-173. |
| [15] | 中国医师协会眼科医师分会, 中华预防医学会医院感染专业委员会, 中华预防医学会消毒分会, 等. 我国眼科手术管理、感染控制、消毒灭菌指南(二)[J]. 中华眼科杂志, 2016, 52(4):244-253. |
| [16] | 柳玉林, 曲华, 杜金库, 等. 白内障摘除手术感染防控措施的最佳证据总结[J]. 上海护理, 2023, 23(1):44-49. |
| [16] | Liu YL, Qu H, Du JK, et al. Summary of best evidence for infection prevention and control measures after cataract extraction surgery[J]. Shanghai Nurs, 2023, 23(1):44-49. |
| [17] | Chang DF, Mamalis N, Ophthalmic Instrument Cleaning and Sterilization Task Force. Guidelines for the cleaning and sterilization of intraocular surgical instruments[J]. J Cataract Refract Surg, 2018, 44(6):765-773. |
| [18] | 杨小燕, 田泽芳, 时桂娟, 等. 两种手术器械清洗质量评价方法的Meta分析[J]. 中华医院感染学杂志, 2021, 31(22):3496-3499. |
| [19] | Association for the Advancement of Medical Instrumentation.Comprehensive guide to steam sterilization and sterility assu-rance in health care facilities:ANSI/AAMIST79—2017[S]. Arlington, Arlington: American National Standards Institute, 2017. |
| [20] | Ling ML, Ching P, Widitaputra A, et al. APSIC guidelines for disinfection and sterilization of instruments in health care facilities[J]. Antimicrob Resist Infect Control, 2018, 7:25. |
| [21] | Verma L, Agarwal A, Dave VP, et al. All India Ophthalmolo-gical Society(AIOS) Task Force guidelines to prevent intrao-cular infections and cluster outbreaks after cataract surgery[J]. Indian J Ophthalmol, 2022, 70(2):362-368. |
| [22] | Guideline quick view:instrument cleaning[J]. AORN J, 2020, 112(5):585-592. |
| [23] | 国家卫生和计划生育委员会.医院消毒供应中心第1部分:管理规范:WS 310.1—2016[S]. 北京: 中国标准出版社, 2017. |
| [23] | Central sterile supply department(CSSD)—part 1:management standard:WS 310.1—2016[S]. Beijing: Standards Press of China, 2017. |
| [24] | 何志荣, 姚卓娅, 耿军辉, 等. 超声乳化手柄清洗标准化处理程序的应用研究[J]. 中国消毒学杂志, 2021, 38(5):364-366. |
| [25] | 詹朦, 姚卓娅, 耿军辉, 等. 河南省眼科手术器械处置及管理现状的调查[J]. 中国消毒学杂志, 2019, 36(8):609-612. |
| [25] | Zhan M, Yao ZY, Geng JH, et al. A survey on the manage-ment and disposal of ophthalmic surgical instruments in Henan Province[J]. Chin J Disinfect, 2019, 36(8):609-612. |
| [26] | Mamalis N. Toxic anterior segment syndrome:role of enzymatic detergents used in the cleaning of intraocular surgical instruments[J]. J Cataract Refract Surg, 2016, 42(9):1249-1250. [27] 肖苏娟. 不同清洗方法对白内障术后患者眼前节毒性综合症的影响[J]. 当代护士(中旬刊),2018, 25(10):101-102. |
| [28] | 吴燕妮, 廖若夷, 丁治芳, 等. 全自动清洗消毒机处理复用清洗刷的效果评价[J]. 中国消毒学杂志, 2022, 39(8):584-586. |
| [28] | Wu YN, Liao RY, Ding ZF, et al. Evaluation on effect of automatic cleaning and disinfection machine applied to the cleaning brush reused process[J]. Chin J Disinfect, 2022, 39(8):584-586. |
| [29] | 田原野, 申良荣. 陕西省144所医院眼科手术器械处置情况调查[J]. 中国消毒学杂志, 2018, 35(9):704-706. |
| [30] | 周文哲, 秦蕾, 郑森国, 等. 沿海五省市127所医院医疗器械清洗情况的调查研究[J]. 中华护理杂志, 2017, 52(11):1361-1365. |
| [30] | Zhou WZ, Qin L, Zheng SG, et al. Current status of medical instrument cleaning in 127 hospitals in five coastal provinces or cities in China[J]. Chin J Nurs, 2017, 52(11):1361-1365. |
| [31] | 国家卫生和计划生育委员会.医院消毒供应中心第3部分:清洗消毒及灭菌效果监测标准:WS 310.3—2016[S]. 北京: 中国标准出版社, 2017. |
| [31] | Central sterile supply department(CSSD)—part 3:surveillance standard for cleaning,disinfection and sterilization:WS 310.3 —2016[S]. Beijing: Standards Press of China, 2017. |
| [32] | 姚艳华, 魏红艳, 杨玉华, 等. 改良清洗流程对复用性金属管腔器械清洗效果观察[J]. 中国消毒学杂志, 2016, 33(4):381-382. |
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