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目的了解国内托幼机构工作人员手部卫生的现状,分析存在的问题。方法检索国内关于托幼机构消毒情况的相关报道,汇总文中关于工作人员的手样本检测数量、合格率及检测依据等信息。结果共统计到8个省市涉及10个地区托幼机构工作人员手部检测样本共3 253个,平均合格率72.06%。与同批次其他检测样本比较,工作人员手卫生样本合格率偏低。不同地区监测几乎均依据2002版《消毒技术规范》,7个省市依据各自依据自己省市的关于托幼机构消毒卫生标准,北京市依据的是《一次性使用卫生用品卫生标准》。结论国内托幼机构工作人员手部卫生检测合格率偏低,除工作人员卫生意识不强、管理措施和卫生设施有待提高等原因外,存在检测依据标准过高,不符合托幼机构工作性质,呼吁引起省市和国家的重视,急需制定切合实际的执行标准。
Objective To understand the current status of hand hygiene in kindergartens and nurses in China and analyze the existing problems. Methods Retrieval of domestic reports on the disinfection of nurseries agencies, the summary of the paper on the staff of the hand sample testing the number of pass rate and test basis and other information. Results A total of 3 253 hand-held samples of kindergartens and nurseries involved in 10 provinces and districts were collected. The average pass rate was 72.06%. Compared with other test samples in the same batch, the passing rate of hand-hygiene samples of staff members is low. Monitoring in different regions almost all according to the 2002 version of “disinfection technical specifications,” seven provinces based on their own provinces and municipalities on the nursery disinfection standards, Beijing is based on “one-time use of hygiene standards for hygiene products.” Conclusions The passing rate of hand hygiene test of staffs in domestic kindergartens is low. Except for the poor hygiene awareness of staff, management measures and health facilities need to be improved, the existing test standards are too high and do not conform to the working nature of kindergartens and nurses. Appeal for the attention of provinces and cities and countries, urgent need to develop realistic implementation standards.