內視鏡檢查區的設計與感染管制原則

Recommendations for the Design and Infection Control in the Endoscopy Unit

在內視鏡檢查室和處理室的工作人員，是發生血液和體液暴觸的高危險群，也是內視鏡容易發生交叉污染的工作場所，加上內視鏡清洗步驟相當繁瑣，從前處理、測漏、清洗、消毒、乾燥、儲存到使用的過程，牽涉多道的步驟，所以必須依賴硬體的設計和標準作業流程的規範來確保清洗、消毒的品質、工作人員的安全及提升工作效率。硬體設計包括單一方向的工作動線、相關設備、空調及溫度、濕度管控等，本篇將就設計相關感染管制的重點進行介紹。

Health-care workers who are in charge of the endoscopic procedures and reprocessing of endoscopes are at high risk of exposure to blood and body fluid. In the endoscopy unit, endoscopes and devices are easily contaminated. In addition, the procedures for reprocessing endoscopes are complicated, including precleaning, testing leakage, cleaning, disinfecting, drying, and storage. Relying on the physical design and standard procedures is important to ensure the quality of the reprocessing, the safety of healthcare workers, and work efficiency. The recommended physical design takes into consideration one-way workflow, ventilation, and control of temperature and humidity, among others.