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目的了解台州市口腔医疗机构医院感染管理与消毒效果现状。方法采用现场问卷调查及采样检测方法,对台州市50家口腔医疗机构进行了调查。结果台州市多数医疗机构的医院感染控制工作不规范,硬件条件不到位,消毒管理制度不健全。从50家口腔医疗机构共采样600份,消毒与灭菌效果平均总合格率为73.33%。各级口腔医疗机构的压力蒸汽灭菌器检测全部合格,一级医院和基层诊所的无菌物品合格率分别为96.67%和94%;医务人员手卫生和紫外线灯辐射强度合格率普遍较低。结论台州地区口腔医疗机构医院感染和消毒管理不够规范,制度不健全,基层诊所消毒与灭菌质量较差,应加强管理和监督监测力度。
Objective To understand the status of hospital infection management and disinfection in the oral medical institutions in Taizhou. Methods A total of 50 oral medical institutions in Taizhou were surveyed by questionnaires and sampling methods. Results Most of the medical institutions in Taizhou hospital infection control work is not standardized, hardware conditions are not in place, disinfection management system is not perfect. A total of 600 samples were taken from 50 oral medical institutions. The average qualification rate of disinfection and sterilization was 73.33%. The pressure steam sterilizer testing at all levels of oral medical institutions were all qualified. The pass rates of sterile products in primary hospitals and primary clinics were 96.67% and 94% respectively. The pass rates of hand hygiene and UV lamp radiation among medical staff were generally low. Conclusion The hospital infection and disinfection management of oral medical institutions in Taizhou are not standardized, the system is not perfect, and the quality of disinfection and sterilization of primary clinics is poor. Management and supervision should be strengthened.