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ATP meter를 이용한 초음파 탐촉자의 오염도 분류

Ultrasound Probe Contamination Classification using ATP Meter

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참고문헌

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주제분류방사선과학

초록

In this study, the contamination level was measured using an ATP meter using adenosine triphosphate bioluminescent material to find effective infection control to compensate for the disadvantages of the microbial culture method used for hygiene control of ultrasound probe. The convex probes were selected from six ultrasound probe in the hospital, and the samples were taken in real time before and after cleaning to check the contamination of the probe. In order to classify the pollution degree using the APT meter was classified by category. A total of 78 samples were collected from the ultrasound probe. When the pollution levels before and after cleaning were classified by category, 76.6% of the samples were classified into category 3·4 before cleaning, but they decreased to 23.3% after cleaning. 13.3% before cleaning was in category 1, but increased to 43.3% after cleaning. By classifying the pollution level, it was confirmed that the pollution level was significantly reduced by category. Until now, there was no suitable criterion for determining the contamination level by using ATP meter in medical machines where sample area is small and reused. In this study, criteria for each category were set to measure the contamination level of ATP meter suitable for small sample area such as ultrasound probe, so that contamination level could be determined in real time at the site. Therefore, it is considered that hygiene management for ultrasound probe can be more actively performed.

Abstract

In this study, the contamination level was measured using an ATP meter using adenosine triphosphate bioluminescent material to find effective infection control to compensate for the disadvantages of the microbial culture method used for hygiene control of ultrasound probe. The convex probes were selected from six ultrasound probe in the hospital, and the samples were taken in real time before and after cleaning to check the contamination of the probe. In order to classify the pollution degree using the APT meter was classified by category. A total of 78 samples were collected from the ultrasound probe. When the pollution levels before and after cleaning were classified by category, 76.6% of the samples were classified into category 3·4 before cleaning, but they decreased to 23.3% after cleaning. 13.3% before cleaning was in category 1, but increased to 43.3% after cleaning. By classifying the pollution level, it was confirmed that the pollution level was significantly reduced by category. Until now, there was no suitable criterion for determining the contamination level by using ATP meter in medical machines where sample area is small and reused. In this study, criteria for each category were set to measure the contamination level of ATP meter suitable for small sample area such as ultrasound probe, so that contamination level could be determined in real time at the site. Therefore, it is considered that hygiene management for ultrasound probe can be more actively performed.

참고문헌 (16)

  1. 신정섭, "종합병원 영상의학과의 감염관리 대한 분석", 한국방사선학회논문지, 6(5), pp.335~341 (2012), 한국방사선학회[DOI]
  2. 김미정, "방사선사의 병원감염관리에 대한 인지도, 수행도 및임파워먼트와의 관련성", 한국콘텐츠학회 논문지, 13(12), pp.328~336 (2013), 한국콘텐츠학회[DOI]
  3. AIUM, "Guidelines for Cleaning and Preparing Externaland Internal-Use Ultrasound Transducers Between Patients & Safe Handling and Use of Ultrasound Coupling Gel", 1~12 (2018)
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  11. Lee CB, "Investigation into the actual state of sanitary management and recognition degree and infection level of ultrasonographic probes", Journal of Radiological Science and Technology, 27(3), pp.51~58 (2004)
  12. 남상미, "치과위생사의 감염관리 실태 조사연구", 한국치위생학회지, 11(1), pp.135~146 (2011), 한국치위생학회
  13. Griffith CJ, "An evaluation of hospital cleaning regimes and standards", J Hosp Infect, 45, pp.19~28 (2000)
  14. Aycicek H, "Comparison of results of ATP bioluminescence and traditional hygiene swabbing methods for the determination of surface cleanliness at a hospital kitchen", Int J Hyg Envion Health, 209, pp.203~206 (2006)
  15. Whiteley GS, "A new sampling algorithm demonstrates that ultrasound equipment cleanliness can be improved", American Journal of Infection Control, 46(8), pp.887~892 (2018)
  16. Sciortino CV, "Validation and comparison of three adenosine triphosphate luminometers for monitoring hospital surface sanitization", American Journal of Infection Control, 40(8), pp.e233~e239 (2012)

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