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目的了解桂林市各级医疗机构消毒与灭菌质量状况及影响因素。方法采用现场调查方法对桂林市108家医疗机构消毒效果进行监测。结果共采样1 763份,室内空气合格率为51.60%,物体表面为92.74%,医护人员手为85.60%,使用中消毒剂为99.05%,紫外线灯辐照强度达标率为72.17%,压力蒸汽灭菌器生物监测合格率为96.43%,无菌物品合格率为98.03%,所有项目均未检出致病菌。结论桂林市医疗机构消毒质量总体不高,多数医疗机构室内空气污染严重超标,部分紫外灯紫外线辐照强度不合要求,医护人员手等均存在不同程度的细菌超标现象。
Objective To understand the quality and influencing factors of disinfection and sterilization in medical institutions at all levels in Guilin. Methods The field investigation method was used to monitor the disinfection effect of 108 medical institutions in Guilin. Results A total of 1 763 samples were taken, indoor air pass rate was 51.60%, surface of object was 92.74%, health worker’s hand was 85.60%, disinfectant was 99.05%, UV irradiation intensity was 72.17% Mycelium biological monitoring pass rate of 96.43%, the pass rate of sterile items was 98.03%, all items were not detected pathogenic bacteria. Conclusion The quality of disinfection in medical institutions in Guilin is generally not high, indoor air pollution in most medical institutions is seriously exceeded, some ultraviolet light intensity of ultraviolet light is unsatisfactory, and the number of bacteria exceeded the standard in different degrees by medical staffs.