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目的对获嘉县辖区内个人诊所消毒卫生状况进行调查研究,为改进基层医疗单位消毒卫生质量和预防医源性感染提供参考。方法对2010和2011年个人诊所内不同对象的消毒与灭菌质量进行检测分析。结果 2010年全县456家个人诊所的3 218份检测样品中合格2 134份,合格率66.3%。其中各类检验样品按合格率由高到低依次为紫外线灯照射强度合格率96.3%;工作台面合格率79.9%;使用中的消毒剂合格率74.4%;医护人员手合格率68.0%;空气合格率62.0%;医院废弃物处理合格率为6.1%。2011年全县456家个人诊所的3 217份检测样品中合格2 149份,合格率66.8%。其中各类检验样品按合格率由高到低依次为紫外线灯照射强度合格率98.2%;工作台面合格率78.0%;使用中的消毒剂合格率76.0%;医护人员手合格率66.0%;空气合格率62.4%;医院废弃物处理合格率为8.1%。两年相比差异无统计学意义。结论个人诊所存在消毒不严格、医护人员消毒意识不强等问题,为院内感染及医源性传染病的发生埋下了隐患。因此,应加大个人诊所消毒监测管理力度,增强医护人员规范消毒意识。
Objective To investigate the disinfection and sanitation status of personal clinics in the area of Xijia County and provide references for improving the disinfection and hygienic quality of primary medical units and preventing iatrogenic infection. Methods The disinfection and sterilization quality of different objects in personal clinics in 2010 and 2011 were tested and analyzed. Results In 2010, 2,384 samples of 3 218 samples from 456 individual clinics in the county were qualified, with a pass rate of 66.3%. The qualified rate of various types of test samples was 96.3% according to the passing rate from high to low; the pass rate of working table was 79.9%; the passing rate of disinfectant in use was 74.4%; the pass rate of medical staff was 68.0% Rate of 62.0%; hospital waste treatment pass rate of 6.1%. In 2011, 3,141 samples of 3 217 samples of 456 individual clinics in the county were qualified, with a pass rate of 66.8%. Among them, the qualified rate of various types of test samples was 98.2% according to the passing rate from high to low; the passing rate of work table was 78.0%; the passing rate of disinfectant in use was 76.0%; the pass rate of medical staff was 66.0% Rate of 62.4%; hospital waste treatment pass rate of 8.1%. There was no significant difference between two years. Conclusion There are some problems in personal clinics, such as disinfection is not strict, disinfection awareness of medical staff is not strong and so on, laying a hidden danger for nosocomial infection and iatrogenic infectious diseases. Therefore, we should increase personal clinic disinfection monitoring and management efforts to enhance health care workers regulate disinfection awareness.