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目的了解厦门市医疗机构消毒灭菌状况,找出医院消毒管理薄弱环节,针对性地实施干预措施。方法对厦门市医疗机构手术室、新生儿室、内镜室、供应室、ICU、口腔科、产房等医院重点科室关键部位的空气、物体表面、医务人员手、医疗用品、内镜、使用中消毒液、无菌保存液、灭菌器、医疗机构污水、紫外线灯等进行采样检测。结果 4年共采样1 301份,合格1 233份,平均合格率为94.77%。2009-2012年检测平均合格率依次分别为97.04%、93.46%、96.35%和92.14%。不同检测项目中,物体表面合格率最高,合格率为98.99%;室内空气合格率较低,为79.39%。结论厦门市医疗机构的消毒质量总体较好,各类样本检测合格率不平衡,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 status of disinfection and sterilization in medical institutions in Xiamen and to find out the weak points in hospital disinfection management and to carry out targeted interventions. Methods The air, object surfaces, medical staff hands, medical supplies, endoscopes, use of the key parts of the operating room, neonatal room, endoscopic room, supply room, ICU, stomatology, Disinfectant, sterile preservation solution, sterilizer, medical institutions, sewage, UV light sampling and testing. Results A total of 1 301 samples were obtained in 4 years, 1 233 were qualified, with an average passing rate of 94.77%. The average passing rate of testing in 2009-2012 was 97.04%, 93.46%, 96.35% and 92.14% respectively. Among the different testing items, the highest pass rate of the surface of the object is the pass rate of 98.99%; the pass rate of indoor air is low, which is 79.39%. Conclusion The disinfection quality of medical institutions in Xiamen is generally good. The passing rate of various samples is unbalanced. The disinfection measures should be strictly regulated, the supervision and management should be strengthened, the disinfection quality evaluation mechanism should be established and perfected, the supervision and inspection should be conducted regularly to ensure the disinfection measures implement.