论文部分内容阅读
目的了解五华县医疗卫生机构消毒质量状况,为医院感染和医源性感染预防控制工作提供科学依据。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),进行现场采样、检测。结果 2011~2013年共监测医疗机构2 932间次,采样检测10 777份,合格9 081份,检测总合格率84.26%。监测项目中室内空气、医护人员手、物体表面、压力蒸气灭菌效果(灭菌器生物监测)、无菌器械浸泡液、使用中消毒液、紫外线灯管辐照度合格率分别为78.10%、79.28%、81.77%、94.59%、98.81%、93.75%、80.56%。不同级别医疗机构消毒效果存在明显差异(χ2=26.92,P<0.01)。结论五华县医疗机构消毒效果呈上升趋势,不同级别的医疗机构消毒合格率以县级医院最高,镇级卫生院次之,而个体诊所最低。今后仍需加强对医疗机构消毒的监督监测,从而有效防止医院感染和医源性感染的发生。
Objective To understand the quality of disinfection in medical institutions in Wuhua County and provide a scientific basis for the prevention and control of nosocomial infections and hospital infections. Methods According to “Disinfection Technical Specification” of the Ministry of Health (2002 edition) and “Sanitary Standard of Hospital Disinfection” (GB15982-1995), samples were collected and tested on site. Results From 2011 to 2013, a total of 2 932 medical institutions were monitored. A total of 10 777 samples were tested and passed, with 9 081 passing the test. The total pass rate was 84.26%. The passing rate of indoor air, medical staff’s hand, object surface, pressure steam sterilization effect (sterilizer biological monitoring), sterile equipment soaking liquid, disinfectant used and ultraviolet lamp irradiance in the monitoring items were 78.10% 79.28%, 81.77%, 94.59%, 98.81%, 93.75%, 80.56%. There were significant differences in disinfection effects between different levels of medical institutions (χ2 = 26.92, P <0.01). Conclusion The disinfection effect of medical institutions in Wuhua County is on the rise. The qualified rate of disinfection in different levels of medical institutions is the highest in county hospitals, the second in township hospitals, and the lowest in individual clinics. In the future still need to strengthen the supervision and monitoring of disinfection of medical institutions, thus effectively preventing hospital infection and iatrogenic infection.