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目的了解南京市托幼机构消毒质量,规范托幼机构消毒方法,预防托幼机构感染性疾病的发生和流行。方法采用现场抽检方法,对托幼机构的空气(动态、静态)、物体表面、工作人员手和餐(饮)具进行采集、检测和评价。结果 2013年南京市共采集托幼机构消毒监测样品4 955份,合格率为89.26%。省优质园、市优质园、合格园和未评定托幼机构的合格率分别为85.93%、93.32%、94.51%和96.43%,合格率差异有统计学意义(χ2=79.844,P<0.05)。空气(动态)、空气(静态)、物体表面、工作人员手和餐(饮)具的合格率分别为89.56%、67.48%、95.00%、86.08%和89.41%,合格率差异有统计学意义(χ2=298.563,P<0.05)。在空气(静态)和物体表面的监测样品中,不同类型托幼机构合格率之间的差异有统计学意义(χ2空气静态=39.522,P<0.05,χ2物体表面=47.639,P<0.05)。结论托幼机构消毒质量有待提高;要重视空气(静态)和手卫生的消毒;加强托幼机构的监管和技术指导。
Objective To understand the quality of disinfection in kindergartens and nurseries in Nanjing, to standardize the disinfection methods of nurseries and kindergartens and to prevent the occurrence and prevalence of infectious diseases in nurseries. Methods The on-the-spot sampling method was used to collect, test and evaluate the air (dynamic and static), the surface of the object, the staff’s hand and the meal (drink) in the nursery school. Results In 2013, a total of 4 955 disinfection monitoring samples were collected from nurseries in Nanjing with a pass rate of 89.26%. The qualified rate of provincial high-quality garden, high-quality garden, qualified garden and unqualified kindergarten were 85.93%, 93.32%, 94.51% and 96.43%, respectively. The passing rate was significantly different (χ2 = 79.844, P <0.05). The pass rates of air (dynamic), air (static), surface of the object, staff’s hand and meal (drink) were 89.56%, 67.48%, 95.00%, 86.08% and 89.41% respectively, with a significant difference in passing rate χ2 = 298.563, P <0.05). There were significant differences in qualification rate between different types of nurseries in air (static) and monitoring samples (χ2 air static = 39.522, P <0.05, χ2 = 47.639, P <0.05). Conclusion Nursing institutions to be disinfected to be improved quality; attention should be paid to air (static) and disinfection of hand hygiene; nurture child care agencies to strengthen supervision and technical guidance.