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目的了解长沙市开福区各医疗机构消毒工作状况,为科学指导医院消毒工作、预防和控制医院感染提供科学依据。方法对全区医疗机构的手术室空气、医护人员手、物体表面、使用中消毒剂,按《医院消毒卫生标准》GB15982-1995进行相关指标检测及分级评价。结果 2010年对全区医疗机构进行消毒监测,样品总数922份,总合格率为92.62%。乡镇级别医院消毒监测样品合格率为94.66%、个体诊所合格率为91.12%,两者差异有统计学意义(P<0.05)。各类监测样品使用中消毒液合格率最高(100.00%),空气细菌总数最低(83.33%),医务人员手的合格率也较低,为90.70%。结论乡镇级医院尤其是个体诊室是今后消毒监测的重点,同时加强医护人员空气消毒知识和正确洗手方法的培训,切实提高医院消毒工作质量。
Objective To know the status of disinfection in medical institutions in Kaifu District, Changsha City, and provide scientific basis for scientific guidance on hospital disinfection, prevention and control of nosocomial infections. Methods The operating room air, medical staff hand, the surface of the object and the disinfectant in use in the operating room of the medical institutions in the district were tested and graded according to the standard of “GB15982-1995 for sanitation of hospitals”. Results In 2010, the hospital disinfection monitoring of medical institutions, a total of 922 samples, the total pass rate of 92.62%. The qualification rate of disinfection monitoring samples in township level hospitals was 94.66%, and the passing rate of individual clinics was 91.12%. There was a significant difference between the two (P <0.05). The qualified rate of disinfectant in all kinds of monitoring samples was the highest (100.00%), the lowest was air bacteria (83.33%), and the passing rate of medical staff was also lower, which was 90.70%. Conclusion Township-level hospitals, especially individual clinics, are the focus of disinfection monitoring in the future. At the same time, they should strengthen the knowledge of air disinfection and proper handwashing of medical staff, and effectively improve the quality of hospital disinfection.