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目的:了解芒市各级医疗机构消毒灭菌效果,加强医院感染控制,为监督机构监管提供依据。方法:采用现场采样和实验室检测方法,对芒市辖区内管理的所有医疗机构消毒灭菌效果进行监测。结果:2014-2015年共监测样品1025份,合格967份,合格率94.34%。2014年合格率为93.12%,2015年为95.69%。各监测项目中外科消毒后医护人员手、ⅠⅡ类环境空气合格率最高为100%,卫生手消毒后医护人员手合格率最低为89.86%,其次为工作台面91.32%。结论:芒市医疗机构消毒质量总体较好,但卫生手消毒后医护人员手和工作台面合格率偏低,个体诊所、村卫生室合格率低,仍需加强对消毒重点环节的监督监测。
Objective: To understand the effect of disinfection and sterilization of medical institutions at all levels in Mount City, to strengthen the control of hospital infection and provide the basis for supervising the supervision of institutions. Methods: The on-site sampling and laboratory testing methods were used to monitor the disinfection and sterilization effects of all the medical institutions managed in the Municipality. Results: A total of 1025 samples were monitored during 2014-2015, 967 were passed, with a pass rate of 94.34%. In 2014, the pass rate was 93.12%, compared with 95.69% in 2015. Surveillance items in the hands of surgical staff after disinfection, Ⅰ Ⅱ ambient air pass rate of up to 100%, health hand disinfection of medical staff the lowest pass rate of 89.86%, followed by the work surface 91.32%. Conclusion: The quality of disinfection is generally good in the medical institutions of Mangshi City. However, the pass rate of hand and countertop of health care workers after disinfection of hygienic hand is low, and the qualified rate of individual clinics and village clinics is low. Therefore, supervision and monitoring on the key links of disinfection should be strengthened.