Abstract:Objective：This study investigates the quality of nosocomial infection management and the cleaning and disinfection effects of flexible endoscopes in 15 primary medical institutions，to find common problems existing in the endoscopy centers and propose effective improvements measures. Method：Design a survey form according to “Technical Specifications for Cleaning and Disinfection of Soft Endoscopes”. Through the method of on-site investigation，the layout facilities，and cleaning and disinfection process，monitoring and recording，training and occupational safety protection of the endoscopy centers were evaluated. At the same time，we inspected the quality of cleaning and disinfection of the endoscope. Results：Among the 15 primary medical institutions，93.3% of the endoscopy centers are equipped with more than four tank cleaning and disinfection stations，33.3% are equipped with automatic cleaning and disinfection machines，60.0% carry out leak testing of endoscopes every day，and 40.0% carry out disinfection effect monitoring every quarter. 46.7% of the staff are equipped with protective equipment and regular training is carried out. According to the results of spot inspection，the qualified rate of disinfection quality of the endoscope is 80%-90%. Conclusion：At present，the management quality of the endoscopy center of the primary medical institutions has not reached a satisfactory level. It is still necessary to further improve the hardware conditions and improve the management system.