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目的回顾成都市某区四类医疗机构2013-2015年消毒与灭菌质量状况,探讨监测中存在的问题,控制医院感染的发生。方法按卫生部《消毒技术规范》、《医院消毒卫生标准》对医院消毒与灭菌质量开展消毒效果监测。结果 3年共检测8类样品3 666件,合格3 519件,检测合格率为95.99%。各监测项目合格率均达到90%以上,其中压力蒸汽灭菌和治疗用水合格率达100.00%,紫外线灯强度合格率最低为92.88%。区级医院、乡镇医院、民营医院和个体诊所合格率依次为97.90%、94.14%、96.98%和94.83%。结论所调查的4类医疗机构消毒与灭菌质量整体较好,但空气消毒和医院污水的灭菌质量仍需加强。
Objective To review the quality of disinfection and sterilization of four types of medical institutions in a certain district of Chengdu from 2013 to 2015, discuss the problems in monitoring and control the occurrence of nosocomial infections. Methods According to the “Technical Specifications of Disinfection” and “Sanitation Standard of Hospital Disinfection” of the Ministry of Health, the disinfection and sterilization quality of the hospital was monitored. Results A total of 3 666 samples of 8 types were tested in 3 years, with a total of 3 519 samples passing the test. The pass rate was 95.99%. The qualified rate of each monitoring project reached more than 90%, of which the pressure steam sterilization and water treatment pass rate of 100.00%, the lowest pass rate of UV lamp was 92.88%. The passing rates of district-level hospitals, township hospitals, private hospitals and individual clinics were 97.90%, 94.14%, 96.98% and 94.83% respectively. Conclusion The quality of disinfection and sterilization of the four medical institutions surveyed is better overall, but the air disinfection and the quality of hospital sewage sterilization still need to be strengthened.