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目的了解大连市各级各类医疗机构消毒灭菌工作质量,找出医院消毒管理薄弱环节,针对性地实施干预措施。方法依据2002年版《消毒技术规范》所列方法进行采样、检测与判定,合格率的比较采用χ2检验。结果5年共采样3 301份,合格2 816份,平均总合格率为85.3%。2007-2011年合格率分别为78.17%、82.78%、86.24%、86.73%和90.77%,不同年份和不同监测项目合格率差异有统计学意义。结论大连市各级医疗机构消毒质量呈逐年上升趋势,但总体合格率不高,尤其是医护人员手、透析液、室内空气、肠镜和支气管镜等项目合格率偏低,应严格规范消毒措施,重点加强监督管理,建立和完善消毒质量评价机制,定期督导检查,保障各项消毒措施的落实。
Objective To understand the quality of disinfection and sterilization in all kinds of medical institutions in Dalian and to find the weak points in the hospital disinfection and management and to implement the targeted interventions. Methods Sampling, testing and judgment were conducted according to the methods listed in the 2002 edition of “Disinfection Technical Specification”, and the pass rate was compared with χ2 test. Results A total of 3 301 samples were obtained in 5 years, with a total of 2 816 samples, with an average total passing rate of 85.3%. The qualification rates from 2007 to 2011 were 78.17%, 82.78%, 86.24%, 86.73% and 90.77%, respectively. The differences in pass rates between different years and different monitoring projects were statistically significant. Conclusion The disinfection quality of medical institutions at all levels in Dalian showed an increasing trend year by year, but the overall pass rate was not high. In particular, the passing rates of medical staff, dialysis fluid, indoor air, colonoscopy and bronchoscopy were relatively low. Sterilization measures should be strictly regulated , Focusing on strengthening supervision and management, establishing and improving the disinfection quality evaluation mechanism, conducting regular supervision and inspection to ensure the implementation of disinfection measures.