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目的了解3年来苏州市各级托幼机构消毒效果,为进一步制定有效防制措施,提高托幼机构消毒质量,控制传染病的发生提供科学依据。方法按照卫生部《消毒技术规范》(2002年版)和江苏省地方标准《托幼机构消毒卫生标准》(DB32/776-2005)对苏州市不同级别托幼机构进行消毒质量监测。结果 2011—2013年苏州市托幼机构消毒质量总合格率为92.47%,各年度监测合格率分别为91.86%、91.47%、94.61%,差异有统计学意义(P<0.05);省优质园、市优质园、合格园监测合格率分别为93.34%、90.96%、92.24%,差异有统计学意义(χ2=16.577,P<0.05);室内空气、物体表面、工作人员手、餐(饮)具的合格率分别为90.53%、96.74%、80.08%、97.05%,各级托幼机构均以工作人员手合格率最低。结论苏州市托幼机构的消毒质量整体较好,但工作人员手消毒效果较差,托幼机构应加强工作人员手卫生工作;卫生监督管理机构应加强对托幼机构的消毒指导、监测与监督。
Objective To understand the disinfection effect of kindergartens and nurseries at all levels in Suzhou in the past three years and to provide scientific evidence for further effective prevention and control measures, improving the disinfection quality of nurseries and controlling the occurrence of infectious diseases. Methods According to “Disinfection Technical Specification” of the Ministry of Health (2002 edition) and the local standard of Jiangsu Province “Nursing and disinfection sanitation standard for nurseries and gyms” (DB32 / 776-2005), the disinfection quality monitoring of nurseries at different levels in Suzhou was conducted. Results In 2011-2013, the total qualified rate of disinfection in kindergartens and nurses in Suzhou City was 92.47%. The qualified rates of monitoring in each year were 91.86%, 91.47% and 94.61% respectively, with significant difference (P <0.05) The quality of the city garden, qualified garden monitoring pass rates were 93.34%, 90.96%, 92.24%, the difference was statistically significant (χ2 = 16.577, P <0.05); indoor air, the surface of the object, staff hands, meals The pass rates were 90.53%, 96.74%, 80.08% and 97.05% respectively, and the lowest pass rate was for staffs and nurses at all levels. Conclusion The quality of disinfection in kindergartens and nurses in Suzhou City is better overall, but the hand disinfection is less effective in nurses and nurses, and nurseries and nurses should strengthen the hand hygiene of staff. Health supervision and administration agencies should strengthen the disinfection guidance, monitoring and supervision of nurseries and kindergartens .