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目的了解平阳县医疗机构消毒质量现状,为控制医源性感染提供依据。方法按《消毒技术规范》(2002年版)的要求进行采样监测。结果 4年共采样监测8 431份,总合格率为61.1%,2007—2010年合格率依次为54.5%、62.1%、77.8%和91.7%,呈逐年上升趋势;县级医疗机构消毒质量合格率最高(95.0%),其次为乡级医疗机构(85.2%),小型医疗机构合格率最低(54.6%),呈逐级降低趋势;检测项目:压力蒸汽灭菌器和灭菌医疗用品合格率均100.0%,其次为物体表面(98.2%)、使用中消毒液(96.2%)、医务人员手指(90.9%)和紫外线强度(79.7%),室内空气最低(5.8%);不同级别医疗机构的室内空气、使用中消毒液、医务人员手指和紫外线强度合格率逐级降低。结论各级医疗机构消毒效果质量存在明显差别,需加大管理力度,改善消毒质量,严防院内感染。
Objective To understand the status quo of disinfection quality of medical institutions in Pingyang County and provide evidence for controlling iatrogenic infection. Methods According to “disinfection technical specifications” (2002 edition) requirements for sampling and monitoring. Results A total of 8 431 samples were collected and monitored in 4 years, with a total pass rate of 61.1%. The pass rates in 2007-2010 were 54.5%, 62.1%, 77.8% and 91.7% respectively, showing an upward trend year by year. The pass rate of disinfection quality at county-level medical institutions (95.0%), followed by township health care institutions (85.2%) and the lowest pass rate of small medical institutions (54.6%), with a gradual decreasing trend. Testing items: Both the pressure steam sterilizer and the sterilization medical supplies pass rate 100.0%, followed by the surface of the object (98.2%), disinfectant in use (96.2%), medical staff finger (90.9%) and UV intensity (79.7%), indoor air lowest (5.8%); indoor Air, the use of disinfectant, medical staff finger and UV level pass rate decreased. Conclusion The quality of disinfection effects at all levels of medical institutions are obviously different, need to increase management efforts to improve the quality of disinfection, prevent nosocomial infections.