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目的对河南省灵宝市基层医疗机构消毒质量进行监测,提高医疗机构消毒工作质量。方法2007年对该市140家基层医疗机构的室内空气、物体表面、医护人员手、使用中消毒剂等按《消毒技术规范》进行采样检测,按《医院消毒卫生标准》进行评价。结果检测各类医疗机构样品2024份,合格1433份,合格率为70.8%。其中市区个体诊所、村卫生所(室)和乡镇个体诊所的消毒质量样品总合格率依次为82.1%、72.5%、56.2%,三者之间差异有统计学意义(χ2=109.9,P<0.01);4类样品在不同季度的合格率差异有统计学意义(χ2=12.8,P<0.01;χ2=7.8,P<0.01;χ2=72.9P<0.01;χ2=3.9,P<0.05)。结论灵宝市基层医疗机构消毒质量现状整体不容乐观,尤其是农村个体诊所中存在较大医疗安全隐患,卫生主管部门、卫生监督和疾病控制机构应各司其职,强化医疗机构消毒工作的软硬件建设和监管。
Objective To monitor the disinfection quality of primary health care institutions in Lingbao City, Henan Province and improve the quality of disinfection work in medical institutions. Methods In 2007, samples of indoor air, surface of objects, hand of medical staff, disinfectant in use and so on in 140 primary medical institutions in the city were sampled and tested according to “Disinfection Technical Specifications” and evaluated according to “Hospital Disinfection Health Standard”. Results A total of 2024 samples of various medical institutions were tested, which qualified 1433 samples with a pass rate of 70.8%. The total qualified rate of disinfection quality samples of individual clinics, village clinics (rooms) and township clinics in urban areas were 82.1%, 72.5% and 56.2% respectively, with significant differences among them (χ2 = 109.9, P < 0.01). There was significant difference in the passing rate of the four samples in different quarters (χ2 = 12.8, P <0.01; χ2 = 7.8, P <0.01; χ2 = 72.9P <0.01; χ2 = 3.9, P <0.05). Conclusion The overall status of disinfection quality in primary health care institutions in Lingbao City is not optimistic. In particular, there is a big medical and safety risk in individual clinics in rural areas. The competent health authorities, health supervision and disease control agencies should play their respective roles and strengthen the disinfection work of medical institutions Hardware construction and supervision.