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目的了解黄浦区医疗机构消毒与卫生质量,以便加强医院感染管理。方法采用现场抽样检测方法,黄浦区20所医疗机构消毒质量进行了评价。结果不同类别医疗机构检测不合格率有统计学差异(P<0.05),三级医疗机构的合格率总体高于一级或二级医疗机构。医疗机构不同采样地点消毒效果有所不同,合格率最低为注射室(84.91%),其次为病房、检验科等科室,这些就诊场所合格率均在90%以下,最高为肠道/肝炎门诊(98.04);医疗机构不同环节消毒状况有所不同,室内空气质量合格率最低(60.11%),其次为使用中消毒液、医务人员手等。致病菌共检出3件,分别为厕所门把手上和医务人员手部检测得到。结果通过加强医疗机构消毒效果监测,以便更好地指导其今后的消毒工作,提高消毒效果和消毒质量,更为卫生行政部门的执法人员在监督执法中提供更有利法律依据,从而提高卫生监督部门执法能力。
Objective To understand the disinfection and health quality of medical institutions in Huangpu District in order to strengthen the management of hospital infection. Methods On-site sampling and testing methods were used to evaluate the disinfection quality of 20 medical institutions in Huangpu District. Results There was a statistically significant difference (P <0.05) in the detection failure rates among different types of medical institutions. The overall pass rate of tertiary medical institutions was generally higher than that of primary or secondary medical institutions. The disinfection effects of different sampling sites in medical institutions were different, with the lowest pass rate being the injection room (84.91%), followed by the ward and laboratory departments. The passing rates of these places were below 90%, the highest was the enteric / 98.04). The disinfection status of different parts of the medical institutions was different. The passing rate of indoor air quality was the lowest (60.11%), followed by the disinfectant used and the hand of medical staff. A total of 3 pathogens were detected, respectively, the toilet door handles and medical staff detected by the hand. Results By strengthening the monitoring of disinfection in medical institutions in order to better guide their disinfection work in the future and improve the disinfection effect and disinfection quality, law enforcement officers of the health administrative departments provide more favorable legal basis in supervision and law enforcement, Law enforcement ability.