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目的了解甘肃省武威市医疗机构消毒质量状况,找出存在的问题,有针对性地加强监督和管理,提高消毒管理水平。方法按《消毒技术规范》消毒效果监测方法与要求、《医院消毒卫生标准》GB 15982-1995进行,对2011—2014年甘肃省武威市医疗机构消毒效果进行检测与分析。结果 2011—2014年消毒质量合格率分别为85.1%、86.3%、95.3%和95.7%,差异有统计学意义(χ2=129.79,P<0.01);市(县)、其他医疗机构、社区、卫生院和个体诊所合格率分别为93.5%、89.9%、95.2%和88.6%,差异有统计学意义(χ2=53.10,P<0.01);空气、医护人员手、环境中物体表面、使用中的消毒液、高压消毒灭菌器和紫外线合格率分别为91.8%、94.7%、94.5%、75.7%、92.6%和87.7%,差异有统计学意义(χ2=193.60,P<0.01)。结论消毒质量呈上升趋势,但仍存在薄弱环节,应进一步加强监督和管理。
Objective To understand the quality of disinfection of medical institutions in Wuwei City, Gansu Province, find out the existing problems, strengthen supervision and management in a targeted manner and improve the level of disinfection and management. Methods According to “disinfection technical specifications” disinfection effect monitoring methods and requirements, “hospital disinfection health standards” GB 15982-1995, 2011-2014 in Wuwei City, Gansu Province, the disinfection of medical institutions to detect and analyze. Results The qualified rate of disinfection in 2011-2014 was 85.1%, 86.3%, 95.3% and 95.7%, respectively, with statistical significance (χ2 = 129.79, P <0.01). The qualified rates of municipal and county medical institutions, The qualified rates of hospital and individual clinics were 93.5%, 89.9%, 95.2% and 88.6%, respectively, with significant differences (χ2 = 53.10, P <0.01); air, the surface of objects in the environment, Liquid, autoclave sterilizers and UV pass rates were 91.8%, 94.7%, 94.5%, 75.7%, 92.6% and 87.7%, respectively. The difference was statistically significant (χ2 = 193.60, P <0.01). Conclusion The quality of disinfection is on the rise, but there are still some weak links. Supervision and management should be further strengthened.