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目的了解山西省医疗机构消毒与灭菌质量状况,改进医院消毒与感染控制措施。方法采用现场抽样和微生物检验的方法,对山西省直管不同规模医疗机消毒与灭菌质量进行了动态监测。结果 2009-2011年连续3年山西省直管医疗机构消毒效果合格率总平均为92.0%。省直综合医院消毒质量合格率为94.2%,专科医院消毒质量合格率为91.5%,民营医院消毒质量合格率为89.5%。医护人员手和内镜消毒效果合格率分别为77.7%和87.8%,无菌物品质量合格率为94.7%,压力蒸汽灭菌器灭菌效果合格率为98.4%。结论山西省直管医疗机构消毒质量总体较好,但无菌物品和压力蒸汽灭菌器质量堪忧。
Objective To understand the quality of disinfection and sterilization in medical institutions in Shanxi Province and to improve the disinfection and infection control measures in hospitals. Methods The methods of on-site sampling and microbiological tests were used to monitor the quality of disinfection and sterilization of straight-tube medical machines of different sizes in Shanxi Province. Results The average pass rate of disinfection effect of straight-line medical institutions in Shanxi Province during 2009-2011 was 92.0%. Provincial-level general hospital disinfection quality pass rate was 94.2%, specialist hospital disinfection quality pass rate was 91.5%, private hospital disinfection quality pass rate was 89.5%. The qualified rate of hand and endoscope disinfection of medical staff was 77.7% and 87.8% respectively, the passing rate of aseptic products was 94.7% and the sterilization rate of pressure steam sterilizer was 98.4%. Conclusion The disinfection quality of straight-line medical institutions in Shanxi Province is generally good, but the quality of sterile products and pressure steam sterilizers is worrying.