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[目的]为了解武城县各级医疗机构消毒效果情况,提出改进措施,防止医源性疾病的传播。[方法]按GB15982-1995《医院消毒卫生标准》对武城县2005~2007年辖区内各级医疗机构的消毒效果进行检测。[结果]2005~2007年合计检测3 318份样品,合格率为68.47%(2272/3318)。2005~2007年合格率分别为60.72%、63.41%、77.08%,呈逐年上升的趋势,差异有统计学意义(P<0.01)。检测的样品中,合格率最低的为空气56.39%(366/649),最高为高压灭菌物品98.61%(213/216),不同样品间合格率的差异有统计学意义(P<0.01);县级医院、乡镇卫生院、和村级卫生室的合格率分别为81.34%(654/804)、74.19%(207/279)和63.13%(1411/2235),差异有统计学意义(P<0.01)。[结论]武城县各级医疗机构消毒检测合格率呈逐年上升趋势,应继续加强监督、检测频次,尤其对室内环境空气、医护人员手的卫生消毒等。
[Objective] To understand the disinfection effect of medical institutions at all levels in Wucheng County and to propose improvement measures to prevent the spread of iatrogenic diseases. [Method] According to GB15982-1995 “Hospital Sanitation Standard”, the disinfection effect of medical institutions at all levels within the area from 2005 to 2007 in Wucheng County was tested. [Result] A total of 3 318 samples were tested from 2005 to 2007, with a pass rate of 68.47% (2272/3318). The passing rates from 2005 to 2007 were 60.72%, 63.41% and 77.08%, respectively, showing a trend of increasing year by year with a significant difference (P <0.01). The lowest passing rate was 56.39% (366/649) for air and 98.61% (213/216) for autoclaved products with the lowest passing rate. The difference in passing rate among different samples was statistically significant (P <0.01). The pass rates of county hospitals, township hospitals and village clinics were 81.34% (654/804), 74.19% (207/279) and 63.13% (1411/2235), respectively, with significant differences (P < 0.01). [Conclusion] The passing rate of disinfection and testing of medical institutions at all levels in Wucheng County has been increasing year by year. Monitoring and testing frequency should be strengthened continuously, especially for disinfection of indoor environment air and hand of health care workers.