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目的了解东台市所辖中医馆消毒管理现状,为规范管理提供参考。方法采用现场问卷和抽样监测方法展开调查。结果纳入调查范围的中医馆中有46.15%达到或基本达到标准要求;有80.00%使用一次性针灸针;76.92%配有紫外线消毒灯;76.92%使用84消毒液,84.62%配有酒精。40.00%采用84消毒液或戊二醛浸泡消毒;其他均使用酒精棉球擦拭消毒刮痧板、拨罐器等中医诊疗器械。有53.85%中医馆有消毒隔离制度和院内感染管理制度,65.38%每日进行诊疗室空气、桌椅、操作台面和地面消毒,消毒工作记录齐全;73.08%的有规范医疗废物桶及处置记录;58.00%的中医诊疗人员知晓如何规范环境及器械消毒等消毒知识;24.00%的人员能注重戴手套操作,勤洗手,勤用速干手消毒剂消毒手;抽样监测合格率为93.64%。结论基层医疗机构中医馆在消毒管理软硬件方面存在问题,卫生计生部门应实施干预措施,消除医院感染隐患。
Objective To understand the status quo of disinfection management in the Chinese medicine clinic under the jurisdiction of Dongtai City and provide a reference for standardizing management. Methods The questionnaire and sample monitoring methods were used to investigate. Results 46.15% of the Chinese medicine museums that were included in the survey reached or basically met the standard requirements. 80.00% used disposable acupuncture needles, 76.92% used UV disinfection lamps, 76.92% used 84 disinfectants and 84.62% used alcohol. 40.00% soaked with 84 disinfectant or glutaraldehyde disinfection; the other are using alcohol cotton balls to wipe disinfection scraping board, Diaoqian and other Chinese medicine treatment equipment. There are 53.85% of the Chinese medicine museum disinfection and isolation system and the hospital infection management system, 65.38% daily clinic room air, tables and chairs, operating table and ground disinfection, disinfection work record is complete; 73.08% of the standard medical waste barrel and disposal records; 58.00% of TCM practitioners knew how to regulate disinfection knowledge such as disinfection of environment and equipment; 24.00% of them could wear gloves and wash hands frequently; Conclusion There are problems in the disinfection management hardware and software of the Chinese medicine museum in the primary medical institutions, and the health and family planning departments should implement the intervention measures to eliminate the hidden dangers of the hospital infection.