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Domestic literature and related regulations

The results of the questionnaire on issues related to anesthesia sensory control released by the perioperative infection control branch of the Chinese Society of Cardiothoracic and Vascular Anesthesia show that only 65.44% of anesthesiologists in tertiary hospitals are aware of sensory control, while the percentage is even lower in other hospitals. The percentage of anesthesiologists who believe that the disinfection of circuits in the anesthesia machines in their departments is a safety hazard is 81.06%.

1. Strengthen hospital infection management, prevention and control of hospital infection, is the eternal theme to protect patient safety and improve medical quality. The operating room, as a key department, needs to be implemented in accordance with the hospital infection management standards for key departments issued by the National Hospital Infection Office, but there is still a lack of awareness of infection control. National level and various local governments on the operating room, anesthesiology, respiratory and other places, must be equipped with anesthesia respiratory circuit disinfection machine, cut off the source of infection part of the specifications are as follows: 1, according to the "anesthesiology clinical anesthesia management standards" of the document requirements: the anesthesiology department of secondary or higher hospitals must be equipped with anesthesia machine, respiratory circuit disinfection machine, used to solve the problem of cross-infection during surgery.

 

2. Medical device regulations
Article 90 of the following circumstances, the competent health department of the people's government at or above the county level shall order correction, give a warning; refuses to correct, a fine of more than 50,000 yuan 100,000 yuan; the circumstances are serious, a fine of more than 100,000 yuan 300,000 yuan, ordered to suspend the use of relevant medical devices, until the original issuing department revoke the license to practice, the relevant responsible personnel shall be ordered to suspend more than 6 months 1 Practice activities for less than one year, until the original issuing department revoke the relevant personnel practice certificate, the legal representative of the offending unit, the main person in charge, directly responsible for the competent personnel and other responsible personnel, confiscate the income earned from the unit during the period of violation, and impose a fine of more than 30% of the income earned more than three times, shall be punished by:
(A) the reuse of medical devices, medical devices using units not in accordance with the provisions of disinfection and management.
(B) the use of medical devices units reuse single-use medical devices, or failure to destroy used single-use medical devices in accordance with the provisions of.
(C) the use of medical devices units not in accordance with the provisions of large medical devices and implantable and interventional medical devices information recorded in the medical record and other relevant records.
(D) the use of medical devices units found that the use of medical devices with safety hazards did not immediately stop using, notify the overhaul, or continue to use the overhaul still can not meet the use of safety standards of medical devices.
(E) the use of medical equipment units in violation of the use of large medical equipment, can not guarantee the safety of medical quality.

 

3. "Prevention and Control of Infectious Diseases Law of the People's Republic of China" provides that: anesthesia departments need to be equipped with anesthesia circuit disinfection machine, anesthesia machine for the corresponding disinfection. Article 69 medical institutions in violation of the provisions of this law, one of the following circumstances, the administrative department of health of the people's government at or above the county level shall order correction, inform criticism, give a warning ......... (e) not in accordance with the provisions of the medical equipment disinfection, or in accordance with the provisions of the once-used medical instruments are not destruction, re-use; ...

 

4. "sterilization management methods" clearly pointed out that disinfection and sterilization is an important means of effective prevention and control of infection of medical origin, "Hospital Management Year" nosocomial infections, anesthesiology also need to be addressed.

 

5. In the book "Hospital Infection Control Guide" edited by Geng Lihua, Chapter 3, Section 1, it is mentioned that the surface of anesthesia monitoring system, anesthesia machine and other related equipment should be kept clean, and must be cleaned, disinfected and sterilized after use according to regulations. Anesthesia machines should be disinfected regularly, and where patients with respiratory tract infections use anesthesia machines should add bacterial filters and disinfect anesthesia machines immediately after use.

 

6. "Modern Medical Disinfection", Chapter 20, Part II of a book edited by Yang Minghua and Yi Bin: "Microbial contamination of anesthesia and respiratory equipment caused by intra-hospital infection has long drawn the attention of the medical community. The most common infections caused by anesthesia and respiratory equipment are respiratory bacterial infections, especially those caused by Mycobacterium tuberculosis and Mycobacterium atypicalum, but recently HBV and HCV infections have also been found, and HIV contamination has been found on the ventilator. therefore, the need for effective disinfection of patient-used anesthesia and respiratory equipment".