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目的了解钦州市钦南区各级医疗机构消毒隔离工作状况,为提高医疗机构消毒质量提供科学依据。方法对2009-2011年辖区内58家医疗机构消毒灭菌效果与环境卫生学进行监测。结果共采样1 036份,合格910份,合格率87.27%。2009-2011年合格率分别为85.63%(46/274)、89.33%(38/318)和87.84%(42/318),差异均无统计学意义(P>0.05)。县级医院、乡镇卫生院和个体诊所的消毒合格率分别为94.93%(206/217)、92.25%(476/516)、75.25%(228/303),差异有统计学意义(P<0.01)。医护人员手、使用中消毒液、物体表面、器械浸泡液、室内空气、一次性医疗卫生用品、压力蒸汽灭菌监测合格率依次为100.00%、98.35%、76.76%、83.02%、80.00%、73.08%、75.63%。结论县级医院消毒灭菌效果比乡镇卫生院、个体诊所好;个体诊所使用中消毒液、物体表面、一次性医疗卫生用品、空气、压力蒸汽灭菌等消毒工作仍有待加强。
Objective To understand the disinfection and isolation work of medical institutions at all levels in Qinnan District of Qinzhou City and provide a scientific basis for improving the disinfection quality of medical institutions. Methods The disinfection and sterilization effects and environmental hygiene of 58 medical institutions in the area from 2009 to 2011 were monitored. A total of 1,036 samples were obtained, of which 910 were qualified, with a pass rate of 87.27%. The qualification rates in 2009-2011 were 85.63% (46/274), 89.33% (38/318) and 87.84% (42/318), respectively, with no significant difference (P> 0.05). The qualified rates of disinfection of county hospitals, township hospitals and individual clinics were 94.93% (206/217), 92.25% (476/516) and 75.25% (228/303), respectively, with significant difference (P <0.01) . The passing rate of medical staff, disinfectant in use, surface of equipment, equipment soaking liquid, indoor air, disposable medical and sanitary products and pressure steam sterilization monitoring were 100.00%, 98.35%, 76.76%, 83.02%, 80.00%, 73.08 %, 75.63%. Conclusion The disinfection and sterilization of county-level hospitals is better than that of township hospitals and individual clinics. The disinfection of disinfectant, surface of objects, disposable medical and hygiene products, air and steam sterilization in individual clinics still needs to be strengthened.