目的了解恩施市医疗机构消毒灭菌质量,为提高医疗质量管理,减少医院感染提供决策依据。方法2006～2008年每年对恩施市区5所综合医疗机构,20个社区医疗服务点,13所乡镇卫生院,186个中心村卫生室,共计224个单位按照GB 15982-1995《医院消毒卫生标准》、《消毒技术规范》(2002)进行1～2次消毒效果检测和评价。结果恩施市城区与非城区医疗单位消毒效果监测平均合格率分别为93.8%和90.1%,差异显著。2006～2008年不同级别医疗机构卫生消毒质量总合格率分别为88.1%、91.3%、93.3%,各年度消毒合格率呈总体上升趋势。结论恩施市各级医疗单位消毒工作质量不断提高,但远城区单位消毒效果有待提高,需加强全市基层卫生院(所)消毒工作。 Objective To understand the quality of disinfection and sterilization in medical institutions in Enshi and provide decision-making basis for improving medical quality management and reducing hospital infection. Methods From 2006 to 2008, five general medical institutions, 20 community health service centers, 13 township hospitals and 186 center village clinics in Enshi city were enrolled. A total of 224 units in accordance with GB 15982-1995 “Disinfection and Sanitation Standards for Hospital ”,“ Disinfection Technical Code ”(2002) for 1 or 2 disinfection effect detection and evaluation. Results The average pass rates of disinfection monitoring in Enshi City and non-urban areas were 93.8% and 90.1% respectively, with significant difference. From 2006 to 2008, the total qualified rate of hygiene and disinfection quality of medical institutions at different levels were 88.1%, 91.3% and 93.3% respectively, and the disinfection pass rates showed an overall upward trend in each year. Conclusion The quality of disinfection work at medical units at all levels in Enshi has been continuously improved. However, the disinfection effect in far urban units needs to be improved. The disinfection work at the grass-roots level hospitals in the city should be strengthened.