从化市2003与2008年医疗机构消毒灭菌的效果对比

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目的了解从化市医疗机构消毒灭菌效果,为今后制定防治医院感染方案提供依据。方法采用比较方式对从化市2003和2008年监测结果进行分析。结果2003与2008年监测样品分别为397和490份,平均合格率为85.39%和94.90%,2008年监测平均合格率高于2003年,2年平均合格率差异有统计学意义(χ2=23.37,P<0.01)。2年的监测结果相同点在于高压灭菌合格率同为100%;2003年室内空气细菌和医护人员手合格率分别为58.97%(46/78)、73.85%(48/65),2008年室内空气细菌和医护人员手合格率分别为86.59%(71/82)、96.00%(96/100),2年合格率差异有统计学意义(P<0.01);比较2年的使用中消毒液和物体表面合格率差异无统计学意义(P>0.05)。结论从化市医疗机构消毒灭菌工作仍有待提高,应继续采取干预措施,从细节入手加强消毒和灭菌管理,增加消毒设备和设施的投入,强化消毒理念,做好医护人员消毒技术和消毒知识宣传培训,进一步消除医院感染的隐患。 Objective To understand the effect of disinfection and sterilization of medical institutions in Conghua City and provide the basis for future prevention and treatment of nosocomial infections. Methods The comparative results were used to analyze the monitoring results of Conghua in 2003 and 2008. Results The monitoring samples in 2003 and 2008 were 397 and 490 respectively, with the average pass rates of 85.39% and 94.90%. The average pass rate of monitoring in 2008 was higher than that of 2003, and the average passing rate in two years was statistically significant (χ2 = 23.37, P <0.01). The same two-year monitoring results showed that the pass rate of autoclaving was 100%. In 2003, the passing rates of bacteria and medical staff in indoor air were 58.97% (46/78) and 73.85% (48/65), respectively The qualified rate of air bacteria and medical staff were 86.59% (71/82) and 96.00% (96/100), respectively, with a significant difference in the two-year pass rate (P <0.01) There was no significant difference in passing rate of objects (P> 0.05). Conclusions The disinfection and sterilization of medical institutions in Conghua City still need to be improved. Intervention measures should be taken continuously to strengthen the disinfection and sterilization management from the details, increase the input of disinfection equipment and facilities, strengthen the concept of disinfection, and do the disinfection and disinfection knowledge Publicity and training to further eliminate the hidden dangers of nosocomial infections.
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