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目的了解西安市市管医疗机构检验科医务人员手卫生现状。方法对西安市市管所有医疗机构检验科医务人员手卫生状况进行随机现场采样监测。结果 2015年共采集西安市80所医疗机构检验科医务人员手标本240份,合格127份,合格率为52.92%。医务人员手卫生合格率:市立直属医院为62.67%,职工医院为55.95%,私立医院为40.74%;综合医疗机构为67.68%,专科医疗机构为42.55%;三级医疗机构为79.63%(43份),二级及以下医疗机构为45.16%(84份),不同类别医疗机构检验科医务人员手卫生合格率比较,差异均有统计学意义(均P<0.01)。手卫生不同项目大肠埃希菌、金黄色葡萄球菌检出率分别为0.83%、8.33%。各年龄组医务人员手卫生合格率比较,差异有统计学意义(χ~2=9.103,P<0.05),≥50岁年龄组医务人员手卫生合格率最高(71.43%),其次为<30岁年龄组(67.82%),40~岁组合格率最低(39.66%)。结论西安市市管医疗机构检验科医务人员手卫生合格率整体水平偏低,应提高检验科医务人员防护意识,加强手卫生质量监控,严格掌握并执行标准洗手操作规程,进一步减少医院感染的发生。
Objective To understand the status quo of hand hygiene of medical staff in laboratory department of Xi’an Municipal Administration. Methods The hand hygiene status of medical staff in the laboratory of all medical institutions in Xi’an City was sampled and monitored randomly. Results In 2015, a total of 240 hand samples of medical staff from 80 medical institutions in Xi’an were obtained, of which 127 were qualified, with a pass rate of 52.92%. Medical staff hand hygiene pass rate: City directly under the hospital was 62.67%, staff hospital 55.95%, private hospital 40.74%; general medical institutions 67.68%, specialist medical institutions 42.55%; tertiary medical institutions 79.63% (43 ), 45.16% (84) for medical institutions of secondary level and below. There was significant difference in the passing rate of hand hygiene among the medical staff of different types of medical institutions (all P <0.01). The detection rates of Escherichia coli and Staphylococcus aureus in different hand hygiene items were 0.83% and 8.33% respectively. The passing rate of hand hygiene of medical staff in all age groups was statistically significant (χ ~ 2 = 9.103, P <0.05), and the highest rate of hand hygiene (71.43%) was in medical staff of ≥50 years old, followed by <30 The age group (67.82%), the lowest pass rate in 40 ~ group (39.66%). Conclusion The passing rate of hand hygiene of medical staff in the laboratory of Xi’an Municipal Administration of Medical Treatment is generally low. The awareness of protective staff in laboratory should be raised, the quality of hand hygiene should be monitored, and the standard hand washing procedures should be strictly controlled and implemented so as to further reduce the occurrence of nosocomial infections .