论文部分内容阅读
目的了解濮阳市各级医疗机构消毒质量状况,预防和控制医院感染的发生。方法采用现场调查和采样检测方法对濮阳市不同级别医疗机构消毒效果进行监测。结果2008~2011年,从濮阳市14所医疗机构中共采集样品4257份,合格3763份,卫生消毒质量监测总平均合格率为88.40%(3763/4257);连续4年的消毒质量监测平均合格率分别为94.58%(978/1034)、86.40%(934/1081)、86.13%(913/1060)、86.69%(938/1082),差异有统计学意义(χ2=51.15,P<0.01)。室内空气、物体表面、透析液、内窥镜、压力蒸汽灭菌器、医护人员手和使用中消毒剂合格率分别为65.69%(176/268)、84.13%(2015/2395)、94.01%(157/167)、95.45%(63/66)、97.87%(92/94)、98.97%(577/583)、99.85%(683/684),差异有统计学意义(χ2=345.00,P<0.01)。市级医院和民营医院合格率分别为89.26%(3192/3576)、83.85%(571/681),差异有统计学意义(χ2=16.35,P<0.01)。结论濮阳市医疗机构消毒质量普遍不高,几年来无明显改善,特别是室内空气、物体表面合格率较低。医疗机构消毒卫生状况还有待改善,需要进一步加强对医疗机构消毒工作落实情况的监督管理,提高医护人员的消毒卫生意识。
Objective To understand the quality of disinfection of medical institutions at all levels in Puyang, to prevent and control the occurrence of nosocomial infections. Methods The field investigation and sampling methods were used to monitor the disinfection effects of different levels of medical institutions in Puyang City. Results From 2008 to 2011, 4257 samples (3763/4257) were collected from 14 medical institutions in Puyang City. The average passing rate of sanitary quality monitoring was 3763/4257. The average passing rate of disinfection quality monitoring for 4 consecutive years They were 94.58% (978/1034), 86.40% (934/1081), 86.13% (913/1060) and 86.69% (938/1082), respectively. The difference was statistically significant (χ2 = 51.15, P <0.01). The pass rates of indoor air, surface of objects, dialysis fluid, endoscopes, pressure steam sterilizer, medical staff and disinfectants in use were respectively 65.69% (176/268), 84.13% (2015/2395), 94.01% ( The difference was statistically significant (χ2 = 345.00, P <0.01), the difference was statistically significant (χ2 = 345.00, P <0.01) ). The pass rates of municipal hospitals and private hospitals were 89.26% (3192/3576) and 83.85% (571/681), respectively, with significant difference (χ2 = 16.35, P <0.01). Conclusion The disinfection quality of medical institutions in Puyang City is generally not high, no significant improvement over the past few years, especially indoor air, the surface pass rate is low. Disinfection health status of medical institutions still need to be improved, the need to further strengthen the supervision and management of the implementation of disinfection work in medical institutions, improve health care workers disinfection awareness.