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目的了解五莲县各级医疗机构消毒工作质量及存在的问题,提高消毒效果和质量。方法按GB-15982-1995《医院消毒卫生标准》,对五莲县2006—2008年各级医疗机构的消毒效果进行检测。结果 2006—2008年合计检测843份样品,合格率为84.34%。2006—2008年合格率分别为75.71%、86.11%、91.27%,呈逐年上升的趋势,差异有统计学意义(P<0.01)。各监测对象的合格率分别为:使用中消毒液88.51%,物体表面85.91%,医护人员手84.41%、空气66.67%,不同样品间合格率的差异有统计学意义(P<0.01)。县级、乡级及个人医疗机构合格率分别为93.40%、81.63%和64.90%,差异有统计学意义(P<0.01)。结论五莲县各级医疗机构消毒检测合格率呈逐年上升趋势,但还应继续加强监督检测频次,不同级别医疗机构中个体医疗机构消毒与灭菌质量处于较低水平,医院内部各类环境的消毒效果存在差异。应加强个体医疗机构及医院内部空气的消毒管理。
Objective To understand the quality and existing problems of disinfection work of medical institutions at all levels in Wulian County and to improve the disinfection effect and quality. Methods According to GB-15982-1995 “Sanitary Standard for Hospital Disinfection”, the disinfection effects of medical institutions at all levels in Wulian County from 2006 to 2008 were tested. Results A total of 843 samples were tested in 2006-2008 with a pass rate of 84.34%. The qualification rates in 2006-2008 were 75.71%, 86.11% and 91.27% respectively, showing a trend of increasing year by year with a significant difference (P <0.01). The qualified rate of each monitoring object was: 88.51% of disinfectant in use, 85.91% of object surface, 84.41% of hand of medical staff and 66.67% of air. The difference of pass rate among different samples was statistically significant (P <0.01). The pass rates of county, township and individual medical institutions were 93.40%, 81.63% and 64.90%, respectively, with significant differences (P <0.01). Conclusion The passing rate of disinfection and testing of medical institutions at all levels in Wulian County has been increasing year by year, but the frequency of supervision and testing should continue to be strengthened. The quality of disinfection and sterilization of individual medical institutions in different levels of medical institutions is at a low level. Disinfection effects vary. Should be to strengthen individual medical institutions and hospital air disinfection management.