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目的分析瑶海区医疗机构2005~2006年消毒质量监测资料,找出消毒管理中存在的问题,为预防和控制医源性感染提供依据。方法按照《消毒技术规范》的要求,对全区所有各级医疗机构的消毒质量进行监测。结果消毒质量监测总合格率85.82%;2005年、2006年医护人员手与物体表面合格率分别为93.42%和98.75%,压力蒸汽灭菌器的合格率分别为88.52%和100%,2006年医护人员手与物体表面(χ2=5.99,P<0.05)和压力蒸汽灭菌器(P<0.05,fisher exact)的合格率高于2005年;两年合计空气、医护人员手与物表、消毒液和保存液、压力蒸汽灭菌器、紫外线灯的合格率依次为55.7%、96.2%、100.0%、94.4%、80.30%,不同检测项目合格率之间差异有显著性(2χ=198.45,P<0.001);两年区级、乡级、村级医疗机构的空气合格率依次为80.00%、58.33%、54.82%,空气合格率在不同级别医疗机构间差异有显著性(P<0.05)。结论瑶海区医疗机构的消毒管理还存在不足,需要进一步加强消毒管理知识培训和监督指导。
Objective To analyze the data of disinfection quality monitoring in medical institutions in Yaohai from 2005 to 2006 and find out the problems in disinfection management so as to provide the basis for prevention and control of iatrogenic infection. Methods According to the requirements of “Technical Specifications for Disinfection”, the quality of disinfection of medical institutions at all levels in the whole district was monitored. Results The total qualification rate of disinfection quality monitoring was 85.82%. The pass rates of hand and object of medical staff in 2005 and 2006 were 93.42% and 98.75% respectively. The pass rate of pressure steam sterilizer was 88.52% and 100% respectively. In 2006, The passing rate of the hand and the surface of the object (χ2 = 5.99, P <0.05) and the pressure steam sterilizer (P <0.05, fisher exact) was higher than that of 2005; the air, the staffs and the physical health care workers The pass rates of preservation solution, pressure steam sterilizer and UV lamp were 55.7%, 96.2%, 100.0%, 94.4% and 80.30% respectively. There was a significant difference between the passing rates of different test items (2χ = 198.45, P < 0.001). The passing rate of air at district, township and village medical institutions was 80.00%, 58.33% and 54.82% respectively in two years. There was a significant difference (P <0.05) in air passing rate among different levels of medical institutions. Conclusion The disinfection management of medical institutions in Yaohai still lacks the need to further strengthen the training and supervision of disinfection management guidance.