OBJECTIVE To study the situation of medical devices cleaning in Xiaoshan by monitoring.METHODS Totally 1217 antiseptic medical devices were examined on the scene by the test paper for occult blood in 8 district hospitals,9 private hospitals and 38 township hospitals.RESULTS The unqualified rate of medical devices decreased from 27.55% in 2006 to 10.89% in 2007,and it was lower in district hospitals and higher in township hospitals.The cleaning quality in operating room was better than that in gynecology and obstetrics′ department.The probe ranked the first in unqualified rate among all the cleaned devices.Cleaning efficacy by machine plus enzyme was better than by manual mode.CONCLUSIONS The cleaning quality of medical devices in hospitals of Xiaoshan District especially in township hospitals need to be improved despite the great improvement in 2007 than in 2006.It is important to improve the cleaning effects of medical devices,eliminate the impact factors as well as strengthen the inspection for cleaning effect.

Objective To investigate the continuous ambulatory peritoneal dialysis ( CAPD) and daytime ambulatory perito-neal dialysis ( DAPD) on sleep quality. Methods This is a multi-center cross-sectional survey, we used the Pittsburgh Sleep Index Scale ( PSQI) ,the unified investigating time, the organized trained peritoneal dialysis nurses qualified to conduct research full-time. Survey content includes general information, sleep index, laboratory tests, dialysis adequacy and other indicators, and the results were pooled analysis. Results A total of eight hospitals of 325 patients undergoing peritoneal dialysis were included in this study,which CAPD patients and DAPD Pittsburgh Sleep Quality Index Scale scores were 6.88 ±2.43,6.71 ±2.69, the difference was not statisti-cally significant (P>0.01).DAPD patients had a lower sleep efficiency than CAPD patients, but it had no difference between subjec-tive feeling, CAPD patients were more likely to have more nocturnal cough, snoring and other symptoms and lower quality of life in mental status scores than DAPD patients(P<0.01). Conclusion Sleep quality of peritoneal dialysis patients scored lower than the norm.Dialysis modes have an impact on sleep quality of patients, health care workers should fully assess the physical and mental state of the patients in order to select the appropriate mode of dialysis.