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目的了解全国医院消毒与灭菌质量,改进医院消毒与感染控制措施。方法通过全国医院感染-消毒监测网收集资料,对部分省市30所医院消毒管理与质量进行了调查。结果 2007-2009年经对黑龙江、吉林、山东、湖北、上海、江苏、浙江和广东等8个省市30所医院的调查,口腔科用水合格率最低,手机喷水和冲洗水合格率分别为34.28%和43.31%。手术室空气、医务人员手卫生、内镜和医院污水平均合格率分别为71.52%、76.78%、78.33%和78.49%。物体表面和外科术前手消毒合格率分别为95.15%和92.82%,压力蒸汽灭菌器生物监测合格率为94.89%。结论国内医院消毒质量平均合格率较低,存在的问题较多,口腔科用水质量、内镜、压力蒸汽灭菌设备质量等问题应予以重视。
Objective To understand the quality of disinfection and sterilization in hospitals throughout the country and to improve the control measures of disinfection and infection in hospitals. Methods Through the national hospital infection - disinfection monitoring network to collect data on disinfection management and quality of 30 hospitals in some provinces and cities were investigated. Results A survey of 30 hospitals in 8 provinces and cities of Heilongjiang, Jilin, Shandong, Hubei, Shanghai, Jiangsu, Zhejiang and Guangdong from 2007 to 2009 showed that the qualified rate of oral water was the lowest, the pass rates of mobile phone water and flushing water were 34.28% and 43.31% respectively. Operating room air, medical staff hand hygiene, endoscopy and hospital sewage were 71.52%, 76.78%, 78.33% and 78.49% respectively. The pass rate of hand disinfection on the surface of the object and before surgery was 95.15% and 92.82% respectively, and the pass rate of biological steam sterilization by pressure steam sterilizer was 94.89%. Conclusion The average passing rate of disinfection quality in domestic hospitals is low, there are many problems, the quality of dental water, endoscopic, pressure steam sterilization equipment quality and other issues should be taken seriously.