论文部分内容阅读
目的了解汕头市潮阳区各级医疗机构消毒与灭菌状况,为科学指导医院消毒工作、预防和控制院内感染提供科学依据。方法按卫生部《消毒技术规范》、《医院消毒卫生标准》(GB15982-1995)对辖区内的各级医疗机构进行消毒质量监测及采样。结果 2008-2009年全区共检测6类样品756份,合格率为95.0%,合格率最高的是无菌包为100%,合格率最低的是医护人员手为89.4%,不同类别样品合格率差异有统计学意义(χ2=16.1,P<0.05)。2008年监测合格率94.5%,2009年监测合格率95.4%,差异无统计学意义(χ2=0.3,P>0.05)。2008-2009年区级医院合格率为98.9%,乡镇卫生院合格率为93.0%,村卫生室和个体诊所样品合格率为89.3%。区级医院监测合格率高于乡镇卫生院和村卫生室及个体诊所,差异有统计学意义(χ2=23.9,P<0.05)。结论必须加大对医疗机构消毒管理工作的监督力度,特别应加强对村卫生室和个体诊所医护人员的培训和监督频率。
Objective To understand the disinfection and sterilization status of medical institutions at all levels in Chaoyang District of Shantou City and provide a scientific basis for scientific guidance on hospital disinfection, prevention and control of nosocomial infections. Methods According to the Ministry of Health “disinfection technical specifications” and “hospital disinfection and health standards” (GB15982-1995) on the area at all levels of medical institutions for disinfection quality monitoring and sampling. Results From 2008 to 2009, a total of 756 samples of 6 categories were tested in the whole district with a pass rate of 95.0%. The highest pass rate was 100% for the aseptic package, and the lowest pass rate was 89.4% for the health care workers. The passing rates of different types of samples The difference was statistically significant (χ2 = 16.1, P <0.05). In 2008, the monitoring qualified rate was 94.5%, and the monitoring qualified rate in 2009 was 95.4%, with no significant difference (χ2 = 0.3, P> 0.05). The qualification rate of district-level hospitals in 2008-2009 was 98.9%, that of township hospitals was 93.0%, and that of village clinics and individual clinics was 89.3%. The qualified rate of district hospital monitoring was higher than that of township hospitals, village clinics and individual clinics (χ2 = 23.9, P <0.05). Conclusion It is necessary to intensify the supervision of disinfection and management of medical institutions. In particular, the frequency of training and supervision of medical staff in village clinics and individual clinics should be strengthened.