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目的为更加直观地反映出上海市医疗机构消毒卫生工作质量,分析其影响因素,为监督管理提供依据。方法依据《医院消毒卫生标准》的规定,2006年、2007年分别对上海市89家、187家医疗机构的消毒卫生状况进行监督抽检,并对抽检结果进行比较分析。结果2007年医疗机构诊疗场所环境空气、物体表面、医护人员手和使用中的消毒剂的细菌指标合格率分别为83.4%、97.7%、92.8%、99.1%,使用中的消毒剂的有效浓度检测合格率为97%,与2006年的抽检结果基本一致。结论医疗机构消毒卫生状况总体情况较好,但也存在着空气细菌超标、医护人员手细菌超标。需要进一步强化对医疗机构消毒隔离措施落实情况的监督管理、提高医护人员的消毒卫生意识。
The purpose is to more directly reflect the quality of disinfection and sanitation work in Shanghai medical institutions, analyze the influencing factors and provide the basis for supervision and management. Methods According to the regulations of “Sanitary Standard for Hospital Disinfection”, the disinfection and sanitation of 89 medical institutions and 187 medical institutions in Shanghai were supervised and sampled in 2006 and 2007 respectively, and the sampling results were compared and analyzed. Results In 2007, the qualified rate of bacterial indicators of the ambient air, the surface of the object, the hand of the medical staff and the disinfectant used were 83.4%, 97.7%, 92.8% and 99.1% respectively, and the effective concentrations of the disinfectants in use The pass rate of 97%, and the sampling results in 2006 basically the same. Conclusion The general situation of disinfection and sanitation in medical institutions is good, but there are also air bacteria exceeded and bacteria in hand of health care workers exceed the standard. Need to further strengthen the medical institutions disinfection and isolation measures to implement the supervision and management to improve health care workers disinfection awareness.