论文部分内容阅读
目的了解各医疗机构消毒灭菌状况,为改进落实医院消毒灭菌措施,制定有效的消毒控制措施提供科学依据。方法对浙江省桐乡市2013-2015年医疗机构的室内空气、物体表面、医护人员手指、使用中消毒液、压力蒸气灭菌效果、医疗器械表面、医用洗漱用水和医院排放污水进行采样检测,并进行整理分析。结果 2013-2015年三年共采样检测10 131份,合格8 036份,3年总合格率为79.32%,各年的合格率分别为81.10%、77.44%和79.20%,不同年份消毒效果合格率之间有统计学意义(χ~2=14.9509,P<0.001);市级医疗机构的消毒效果合格率明显高于个体诊所,合格率之间差异有统计学意义(χ~2=514.7393,P<0.0001)。结论桐乡市个体医疗诊所消毒灭菌效果合格率较低,不同检测样品间合格率相差悬殊,应有针对性的制定消毒灭菌措施,有效控制降低医院感染的发生。
Objective To understand the status of disinfection and sterilization in various medical institutions and provide scientific basis for improving the implementation of disinfection and sterilization measures in hospitals and establishing effective disinfection control measures. Methods Sampling and testing of indoor air, object surface, medical staff finger, in-use disinfectant, pressure steam sterilization effect, medical device surface, medical wash water and hospital discharged sewage in medical institutions in Tongxiang City of Zhejiang Province during 2013-2015 Finishing analysis. Results A total of 10 131 samples were collected and tested in 2013-2015, with a total of 8 036 samples. The total pass rate in 3 years was 79.32%. The pass rates in each year were 81.10%, 77.44% and 79.20% respectively. The pass rates of disinfection in different years (Χ ~ 2 = 14.9509, P <0.001). The pass rate of disinfection of municipal medical institutions was significantly higher than that of individual clinics (χ ~ 2 = 514.7393, P <0.0001). Conclusion The qualified rate of disinfection and sterilization of individual medical clinics in Tongxiang is low. There is a big difference in the qualification rate among different test samples. Therefore, disinfection and sterilization measures should be formulated to reduce the incidence of nosocomial infections effectively.