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目的:了解医疗机构消毒与灭菌质量,掌握消毒现状,为提出改进措施提供依据。方法:按照《医院消毒卫生标准》、《消毒技术规范》进行样品采集、检测及卫生学评价。结果:2009-2011年共采集1 746份样品,合格1 622份,合格率为92.90%。其中中心级以上医疗机构、民营医院、牙科诊所合格率分别为97.36%、93.21%和84.81%,差异有统计学意义(χ2=39.42,P<0.01)。同时不同监测项目监测结果差异有统计学意义(χ2=90.91,P<0.01),室内空气监测合格率最低,为78.88%,民营医院和牙科诊所是今后消毒监测工作的重点。结论:如东县医疗机构消毒状况不容乐观,要全面加强对医疗机构的监督管理,定期或不定期进行消毒效果监测,同时做好技术指导,减少医院感染事件的发生。
Objective: To understand the quality of disinfection and sterilization of medical institutions, to master the status of disinfection, to provide the basis for improvement measures. Methods: According to “hospital disinfection health standards”, “disinfection technical specifications” for sample collection, testing and hygiene evaluation. Results: A total of 1 746 samples were collected from 2009 to 2011, with 1 622 qualified, with a pass rate of 92.90%. The qualified rates of medical institutions, private hospitals and dental clinics above the center level were 97.36%, 93.21% and 84.81% respectively, with a significant difference (χ2 = 39.42, P <0.01). At the same time, the monitoring results of different monitoring items showed significant differences (χ2 = 90.91, P <0.01), and the qualified rate of indoor air monitoring was the lowest (78.88%). Private hospitals and dental clinics were the focus of disinfection monitoring in the future. Conclusion: The disinfection status of medical institutions in Rudong County is not optimistic. It is necessary to strengthen the supervision and management of medical institutions in an all-round way and monitor the disinfection effect regularly or irregularly. Meanwhile, technical guidance should be provided to reduce the incidence of nosocomial infections.