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目的了解上海市某区医疗机构戊二醛消毒剂的使用与管理现况,以便加强医院消毒管理。方法采用问卷调查方式,对该区管辖的医疗机构戊二醛的使用与管理情况进行了调查。结果所调查的15所医疗机构戊二醛消毒与灭菌对象、作用浓度与时间均符合规范要求。戊二醛消毒与诊疗均能做到分室,多数使用戊二醛的环境通风良好,但有部分科室将使用后的戊二醛残液直接倒入下水道。医务人员对戊二醛缺乏了解,使用戊二醛的科室防护装置不齐全,多数不安装洗眼设施。有近40%左右的使用戊二醛的人员出现眼、皮肤和呼吸道刺激症状。结论该区医疗机构戊二醛消毒剂使用基本合理,但医务人员对戊二醛缺乏了解,防护措施不到位,有待加强管理。
Objective To understand the use and management of glutaraldehyde disinfectant in medical institutions in a district of Shanghai in order to strengthen hospital disinfection management. Methods A questionnaire survey was conducted to investigate the use and management of glutaraldehyde in medical institutions under the jurisdiction of the district. Results The glutaraldehyde disinfected and sterilized objects in 15 medical institutions investigated were all accordant with the standard requirements. Both glutaraldehyde disinfection and diagnosis and treatment can be done sub-room, most of the use of glutaraldehyde environment, good ventilation, but some departments will use the glutaraldehyde residue directly into the sewer. Medical staff lack of understanding of glutaraldehyde, the use of glutaraldehyde department protection is not complete, most do not install eyewash facilities. Nearly 40% of those who use glutaraldehyde appear eye, skin and respiratory irritation. Conclusion The use of glutaraldehyde disinfectant in medical institutions in this area is basically reasonable. However, the lack of understanding of glutaraldehyde by medical staff and the preventive measures are not in place to be strengthened.