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目的:了解缙云县基层医疗机构消毒灭菌工作现状,探讨工作中存在的问题,为今后提高消毒灭菌质量提供参考依据。方法:收集2008-2014年间缙云疾控中心消毒监测的相关数据,进行统计分析。结果:连续7年共采集不同类别的标本5 162份,平均合格率为96.90%。不合格检测项目中,菌落总数不合格占89.38%。7年间的合格率呈现逐年递升趋势,各年间的合格差异有统计学意义(χ2=31.27,P=0.000)。各监测项目中,紫外线灯的合格率最高,为99.66%,医务人员手表面的合格率最低,为94.12%;各项目间的合格率差异有统计学意义(χ2=45.46,P=0.000)。不同类别的医疗机构中,个体诊所、村卫生室及口腔诊所的合格率较低。6类不同类别医疗机构之间的合格率差异有统计学意义(χ2=186.32,P=0.000)。结论:缙云县基层医疗机构消毒灭菌质量整体较好,但个体医疗机构的合格率偏低,有待改进和提高。
OBJECTIVE: To understand the current status of disinfection and sterilization in primary medical institutions in Jinyun County, discuss the problems existing in the work and provide reference for improving the quality of disinfection and sterilization in the future. Methods: The data of disinfection monitoring in Jinyun Center for Disease Control and Prevention from 2008 to 2014 were collected for statistical analysis. Results: A total of 5 162 specimens of different types were collected for 7 consecutive years with an average passing rate of 96.90%. Unqualified test items, the total number of failed colonies accounted for 89.38%. The passing rate in 7 years showed an increasing trend year by year, with significant differences between years (χ2 = 31.27, P = 0.000). Among all the monitoring items, the qualified rate of UV lamp is the highest, which is 99.66%. The lowest pass rate of the medical staff’s surface is 94.12%. The passing rate of each item is statistically significant (χ2 = 45.46, P = 0.000). Among the different types of medical institutions, individual clinics, village clinics and dental clinics have a low pass rate. There were significant differences in the pass rates among the six categories of medical institutions (χ2 = 186.32, P = 0.000). Conclusion: The quality of disinfection and sterilization of grass-roots medical institutions in Jinyun is better overall, but the pass rate of individual medical institutions is low, which needs to be improved and improved.