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目的了解闵行区各级医疗机构的消毒效果,找出消毒工作中存在的薄弱环节,有效控制和减少医院内感染的发生。方法按GB15982-1995《医院消毒卫生标准》和GB18466-2005《医疗机构水污染物排放标准》等标准对消毒灭菌设备、室内空气、物体表面、医务人员手、医疗用品和医院污水等项目进行现场监测。结果共采样472份,合格率95.76%,其中二级以上医疗机构合格率为98.90%,一级医疗机构合格率96.20%,民营医疗机构合格率90.65%;消毒灭菌设备、使用中消毒剂、医疗用品、医院污水、室内空气、物体表面和医务人员手合格率分别为97.51%、100%、97.26%、60.71%、97.22%、100%和100%。结论闵行区医疗机构消毒质量监测结果整体合格率较高,但医院污水监测合格率较低,医院应加强内部日常监测管理和督导,对污水设备加强日常保养和维修,卫生监督部门加强医院监督检查,确保医院污水合格排放。
Objective To understand the disinfection effect of medical institutions at all levels in Minhang District and identify the weak links in the disinfection work so as to effectively control and reduce the occurrence of nosocomial infections. Methods According to the standard of GB15982-1995 “Sanitary standard of hospital disinfection” and GB18466-2005 “Discharge standard of water pollutants of medical institutions”, the projects of disinfection and sterilization equipment, indoor air, surface of objects, medical personnel, medical supplies and hospital sewage were carried out On-site monitoring. Results A total of 472 samples were taken, with a passing rate of 95.76%. The passing rate of medical institutions of secondary level and above was 98.90%, the passing rate of primary medical institutions was 96.20% and the passing rate of private medical institutions was 90.65%. The disinfection and sterilization equipment, The passing rates of medical supplies, hospital sewage, indoor air, surface of objects and medical staffs were 97.51%, 100%, 97.26%, 60.71%, 97.22%, 100% and 100% respectively. Conclusion The overall qualified rate of disinfection monitoring results in medical institutions in Minhang District is high, but the qualified rate of sewage monitoring in hospitals is low. The hospital should strengthen internal daily monitoring management and supervision, strengthen daily maintenance and repair of sewage equipment, and supervise and inspect the health supervision departments , To ensure that the hospital sewage discharge.