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目的了解深圳市盐田区医疗机构的消毒质量状况,为提高医疗机构消毒质量、预防和控制感染性疾病提供科学依据。方法按照卫生部《消毒技术规范》(2002年版)和《医院消毒卫生标准》(GB15982―1995)规定的方法对深圳市盐田区辖区内的医疗机构进行采样检测。结果2009—2011年3年共检测样品1 470份,合格1 421份,平均合格率为96.67%;2009—2011年各年合格率依次为97.36%(480/493)、97.80%(488/499)、94.77%(453/478),差异有统计学意义(P<0.01)。物体表面、医护人员手、使用中消毒液和灭菌医疗用品的合格率依次为96.55%(532/551)、93.86%(382/407)、100.00%(361/361)和96.69%(146/151),不同监测项目的合格率差异有统计学意义(P<0.05)。结论深圳市盐田区医疗机构的消毒质量总体较高,但医护人员手的合格率较低,今后需建立有效的消毒管理制度,加强对医护人员的培训,切实把消毒工作落实到位。
Objective To understand the quality of disinfection in medical institutions in Yantian District of Shenzhen City and provide scientific evidences for improving the disinfection quality of medical institutions and preventing and controlling infectious diseases. Methods The medical institutions in Yantian District of Shenzhen City were sampled and tested in accordance with the provisions of “Disinfection Technical Specification” (2002 edition) and “Sterilization and Sanitation Standard of Hospital” (GB15982-1995). Results A total of 1 470 samples were tested during the three years from 2009 to 2011, with a pass rate of 1 421. The average passing rate was 96.67%. The passing rates in 2009-2011 were 97.36% (480/493) and 97.80% (488/499) ), 94.77% (453/478), the difference was statistically significant (P <0.01). The passing rate of the surface of the object, the hand of the medical staff, the disinfectant in use and the sterilized medical supplies were 96.55% (532/551), 93.86% (382/407), 100.00% (361/361) and 96.69% (146 / 151). The differences of pass rates between different monitoring items were statistically significant (P <0.05). Conclusion The quality of disinfection of medical institutions in Yantian District of Shenzhen City is generally high, but the pass rate of medical staffs is low. Therefore, it is necessary to establish effective disinfection management system and strengthen the training of medical staff in order to put disinfection work into effect.