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目的了解河北区医疗机构消毒工作质量及存在的问题,以便加强管理。方法 2005-2010年对河北区医疗机构的室内空气、医护人员手、物体表面、使用中消毒液和紫外线灯管辐射强度等进行采样检测。结果 6年共采样3 313份,平均总合格率为92.2%,2005-2010年合格率依次为94.0%、93.3%、91.6%、86.4%、94.5%和93.7%。室内空气、医护人员手、物体表面、使用中消毒液和紫外线灯管辐射强度合格率分别为80.9%、86.4%、96.1%、100%和93.5%。不同级别医疗机构间消毒合格率差别有明显统计学意义(P<0.001)。结论河北区医疗机构室内空气卫生质量、医护人员手卫生是该区医疗机构消毒质量控制中的薄弱环节,应进一步加强监督和管理。
Objective To understand the quality and existing problems of disinfection work in medical institutions in Hebei Province in order to strengthen management. Methods From 2005 to 2010, the indoor air of medical institutions in Hebei Province, the hand of medical staff, the surface of objects, the disinfectant in use and the radiation intensity of UV lamp were sampled and tested. Results A total of 3 313 samples were collected in 6 years with an average total passing rate of 92.2%. The passing rates in 2005-2010 were 94.0%, 93.3%, 91.6%, 86.4%, 94.5% and 93.7% respectively. The passing rate of indoor air, medical staff’s hand, object surface, disinfectant in use and UV lamp’s radiation intensity were 80.9%, 86.4%, 96.1%, 100% and 93.5% respectively. There was a significant difference in the pass rate of disinfection between different levels of medical institutions (P <0.001). Conclusion The indoor air quality of medical institutions in Hebei Province, hand hygiene of medical staff is the weak link in the quality control of medical institutions in the district, and should be further strengthened supervision and management.