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目的了解惠州市近年来各级医疗卫生单位医务人员手部消毒效果,为科学指导医务人员消毒工作,预防和控制院内感染提供科学依据.方法按卫生部《消毒技术规范》方法和相关标准要求,于2010年—2011年对当地市级(Ⅰ级)、县区级(Ⅱ级)、乡镇级(Ⅲ级)、社会医疗四类医疗卫生单位医务人员手部进行了消毒效果监测.结果2年来共监测上述单位医务人员手部消毒效果样品共2528份.市级(Ⅰ级)、县区级(Ⅱ级)、乡镇级(Ⅲ级)和社会医疗四类医疗卫生单位的2010年度合格率分别为91.77﹪、92.25﹪、91.53﹪、82.29﹪,2011年度合格率分别为93.75﹪、96.33﹪、94.20﹪、83.27﹪,Ⅰ级、Ⅱ级、Ⅲ级和社会医疗的年度同类对比,合格率均有所上升,且同类两者之间差异并无显著性(P<0.005);同年度Ⅰ级、Ⅱ级、Ⅲ级之间的差异并无显著性(P0.005).结论惠州市市级(Ⅰ级)、县区级(Ⅱ级)、乡镇级(Ⅲ级)医疗卫生单位医务人员手部消毒效果合格率较高、消毒工作稳定且水平相当,但社会医疗单位的效果较低、与Ⅰ级、Ⅱ级、Ⅲ级医疗卫生单位存在一定差距,将是今后消毒监测的重点,应特别加强对社会医疗单位医务人员手部消毒工作的落实.“,”Objective: To know the medical staff hand disinfection effect at al levels of medical and health units in Huizhou City for the past few years, provide a scientific basis for the scientific guidance of medical staff disinfection,units(city ,county (district), township and individual) had the disinfection effect monitoring during 2010 and 2011. Result: :We got 2528 samples of medical staff hand sanitizing effect form above units in this two years. Medical and health units of Huizhou, county (district), township and individual in 2010 of pass rates were 91.77﹪, 92.25﹪, 91.53﹪, 82.29﹪. In 2011, the percentage were 93.75﹪、96.33﹪、94.20﹪、83.27﹪,which the year similar contrast, the pass rates al had risen, and there was no significant difference between these two years(P<0.005);In the same year, the difference was not significant between the city, county (district) and township(P0.005). Conclusion: Medical and health units of Huizhou city, county (district), township had high pass percentage in medical staff hand sanitizing effect, also have the stable and matching level disinfection. But individual medical and health units’ effect were not optimistic and there were a gap with others. This wil be the focal point of the disinfection monitoring in the future, in particular to strengthen the implementation of individual health units medical staff hand disinfection work.