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目的了解荣成市各级医疗机构消毒与灭菌质量,发现医院消毒中存在的问题,及时采取整改措施。方法采取现场采样和实验室检测方法,对荣成市149家医疗机构的消毒状况进行调查。结果 149家医疗单位(Ⅳ类环境),室内空气细菌总数总合格率为65.77%,物体表面总合格率为91.44%,医务人员手总合格率为80.63%,消毒液总合格率为99.55%,紫外线灯辐照强度均合格。镇级综合医疗单位和个体诊所的室内空气、物体表面、医护人员手合格率差异均有统计学意义(P<0.05);市级综合医疗单位和镇级综合医疗单位室内空气菌落总数检测结果差异有统计学意义(P<0.05)。结论荣成市医疗机构消毒质量不高,部分消毒项目(室内空气、物体表面、医护人员手菌落总数)存在问题,尤其是镇级综合医疗单位和个体诊所消毒质量存在较大问题。
Objective To understand the quality of disinfection and sterilization of medical institutions at all levels in Rongcheng City and to find out the problems in hospital disinfection and to take corrective measures in time. Methods On-site sampling and laboratory testing methods were used to investigate the disinfection status of 149 medical institutions in Rongcheng City. Results In 149 medical units (Class IV environment), the total qualified rate of indoor air bacteria was 65.77%, the total qualified rate of objects on the surface was 91.44%, the total pass rate of medical staff was 80.63%, the total qualified rate of disinfectant was 99.55% UV lamp irradiation intensity are qualified. There were significant differences in the passing rate of indoor air, object surface and medical staff among town-level general medical units and individual clinics (P <0.05). The differences of indoor air colony count results between municipal general medical units and township general medical units There was statistical significance (P <0.05). Conclusion The quality of disinfection in medical institutions in Rongcheng City is not high. There are problems in some disinfection items (indoor air, surface of objects, total number of hand colonies of medical workers), especially the quality of disinfection in township general medical units and individual clinics.