论文部分内容阅读
目的分析淮安市各级医疗机构2012—2015年消毒质量情况,为规范全市医疗机构消毒工作提供依据。方法对全市不同级别的医疗机构进行消毒质量监测,依据《医院消毒卫生标准》(GB15981-2012)进行评价分析。结果 2012—2015年各级医疗机构消毒效果监测共计检测样品22 796份,总合格率为92.44%;4年合格率分别为93.87%、92.51%、92.43%和91.61%,各年间差异无统计学意义(χ~2=0.717,P=0.869)。环境物体表面、医护人员手、使用中消毒剂、医疗器械和一次性医疗用品的合格率均较高,紫外线灯辐照强度和室内空气质量合格率较低。县级以上医疗机构、乡镇及以下医疗机构和个体门诊合格率分别为95.50%、90.32%和93.11%,差异有统计学意义(χ~2=6.839,P<0.05)。结论淮安市医疗机构消毒质量较高,但基层医疗机构消毒管理工作仍未落实到位,依然是消毒监测监督的重点,消毒质量有待提高。
Objective To analyze the quality of disinfection in medical institutions at all levels in Huai’an from 2012 to 2015 and provide the basis for regulating the disinfection of medical institutions in the city. Methods The disinfection quality of different levels of medical institutions in the city was monitored and evaluated according to “Hospital Disinfection Health Standard” (GB15981-2012). Results A total of 22 796 samples were tested for disinfection effect at all levels from 2012 to 2015 with a total pass rate of 92.44%. The four-year pass rates were 93.87%, 92.51%, 92.43% and 91.61% respectively. There was no significant difference between years Significance (χ ~ 2 = 0.717, P = 0.869). The passing rate of environmental objects, hand of medical staff, disinfectant used, medical instruments and disposable medical supplies are high, and the pass rate of ultraviolet lamp and indoor air quality are lower. The passing rates of medical institutions and township medical institutions and individual clinics below the county level were 95.50%, 90.32% and 93.11% respectively, with statistical significance (χ ~ 2 = 6.839, P <0.05). Conclusions The quality of disinfection in medical institutions in Huaian is relatively high. However, the disinfection management in primary medical institutions has not yet been put in place and is still the focus of disinfection monitoring and supervision. The quality of disinfection needs to be improved.