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目的了解医疗机构环境卫生学及消毒效果现状,为提高医院控制院内感染提供科学依据。方法采用现场随机抽样和微生物检测方法,对2012-2015年市管医疗机构医护人员手、空气、物体表面、使用中消毒剂等进行消毒效果监测。结果 4年共采样3 067份,合格2 949份,平均总合格率为96.15%;使用中消毒剂、物体表面、医护人员手、空气所监测的合格率分别为98.1%、98.5%、91.8%和97.4%;2012-2015年洛阳市一级、二级、三级医院的合格率分别为99.2%、97.4%、98.4%。结论洛阳市医疗机构消毒质量合格率总体较高,基本保持在96.0%左右,合格率较低的主要是医护人员手。针对医疗机构出现的问题,我们加大了监测频率和技术指导,控制院内交叉感染,提高消毒质量。
Objective To understand the status quo of sanitation and disinfection in medical institutions and provide a scientific basis for improving hospital control of nosocomial infections. Methods On-the-spot random sampling and microbiological testing methods were used to monitor the disinfection effect of the hand, air, surface of objects, disinfectants in use and so on during the period of 2012-2015. Results A total of 3 067 samples were obtained in 4 years, with a total of 2 949 samples, with an average total pass rate of 96.15%. The pass rates of the disinfectants, surface of the objects, hand of the medical staff and air were 98.1%, 98.5% and 91.8% And 97.4% respectively. The pass rates of primary, secondary and tertiary hospitals in Luoyang in 2012-2015 were 99.2%, 97.4% and 98.4% respectively. Conclusion The passing rate of disinfection quality of medical institutions in Luoyang is generally high, basically keeping at about 96.0%. The lower the pass rate is the medical staffs’ hands. In view of the problems in medical institutions, we have increased the monitoring frequency and technical guidance to control cross-infection in hospitals and improve the quality of disinfection.