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目的了解庐阳区医疗机构消毒灭菌状况,加强医院消毒管理,提高消毒质量。方法按照卫生部《消毒技术规范》、《消毒与灭菌效果的评价方法与标准》(GB15981-1995)、《医院消毒卫生标准》(GB15982-1995)的方法和要求对2010~2012年庐阳区医疗机构消毒质量进行评价分析。结果 2010-2012年共检测样品942份,总平均合格率81.00%,3 a消毒合格率有统计学差异;不同医疗机构消毒质量以村卫生室最差,合格率仅为65.09%,低于个体诊所和社区卫生服务站,差异有统计学意义;6类监测项目中合格率最高的是一次性医疗用品(100.00%),最低的是物体表面(53.27%);物体表面和医务人员手消毒合格率上升明显,差异有统计学意义,其他项目合格率变化不大。结论 2010-2012年庐阳区医疗机构消毒质量监测合格率稳步提高,以物体表面和医务人员手消毒合格率提高最明显。今后需加强对使用中消毒液、医疗器械、高压灭菌器的消毒质量监测工作。对医疗机构,重点是村卫生室,应加强监督管理、强化医院感染知识培训,严格落实规范化消毒灭菌工作。
Objective To understand the disinfection and sterilization of medical institutions in Luyang District, strengthen hospital disinfection management and improve the quality of disinfection. Methods According to the methods and requirements of “Technical Specifications for Disinfection”, “Methods and Criteria for Disinfection and Sterilization” (GB15981-1995) and “Sanitary Standards for Hospital Disinfection” (GB15982-1995) of the Ministry of Health, Medical institutions disinfection quality evaluation analysis. Results A total of 942 samples were tested from 2010 to 2012, with a total average passing rate of 81.00%. The pass rate of 3-year disinfection showed statistically significant differences. The disinfection quality of different medical institutions was the worst in village clinics with a pass rate of only 65.09% Clinics and community health service stations, the difference was statistically significant. Among the six types of monitoring items, the highest pass rates were disposable medical products (100.00%) and the lowest ones were on the surface of the object (53.27%). The surface of the objects and the hand of the medical staff were qualified Rate increased significantly, the difference was statistically significant, other projects did not change much. Conclusion The qualified rate of disinfection quality monitoring in medical institutions in Luyang District increased steadily from 2010 to 2012, and the passing rate of disinfection to the surface of the objects and medical staff was the most obvious. In the future need to strengthen the use of disinfectant, medical equipment, autoclave disinfection quality monitoring. For medical institutions, with a focus on village clinics, supervision and management should be strengthened to enhance training on knowledge of nosocomial infection and strictly implement standardized disinfection and sterilization work.