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目的了解邯郸市各级医疗机构的消毒质量,找出消毒工作中存在的薄弱环节,有效控制和减少医院内感染的发生。方法采用现场调查和采样检测方法对全市61家医疗机构连续2年进行消毒质量抽样检测,并对结果进行统计分析。结果灭菌医疗器械合格率为96.3%;紫外线灯强度合格率为96.1%;使用中的消毒细菌污染合格率为96.1%;紫外线灯强度合格率为95.2%;使用中的消毒液细菌污染合格率为97.7%;物体表面合格率为96.4%;压力蒸汽灭菌合格率为78.1%;医院污水合格率为77.3%;医护人员手合格率为78.5%;口腔科牙钻合格率为75.0%。结论监测结果表明,邯郸市各级医疗机构消毒质量特别是医护人员手及口腔科牙钻的消毒质量有待进一步提高,今后应加强对医疗机构消毒工作的监督管理和监测。
Objective To understand the quality of disinfection of medical institutions at all levels in Handan to find out the weak links in the disinfection work and to effectively control and reduce the occurrence of nosocomial infections. Methods A total of 61 medical institutions in the city were sampled for disinfection quality for two consecutive years by on-the-spot investigation and sampling method, and the results were statistically analyzed. Results The qualified rate of sterilized medical devices was 96.3%; the passing rate of UV lamp was 96.1%; the passing rate of disinfection bacteria in use was 96.1%; the pass rate of UV lamp was 95.2%; the pass rate of bacterial contamination in disinfectant used 97.7%. The passing rate of object surface was 96.4%. The passing rate of steam sterilization was 78.1%. The passing rate of hospital sewage was 77.3%. The pass rate of medical staff was 78.5%. The passing rate of stomatology was 75.0%. Conclusion The monitoring results show that the quality of disinfection at all levels of medical institutions in Handan, especially the quality of disinfection of hand and dental dental drills need to be further improved in the future should strengthen the supervision and management of medical institutions and monitoring of disinfection.