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目的了解睢宁县各级医疗机构消毒效果。方法按卫生部《消毒技术规范》、《医疗消毒卫生标准》(GB1598221995)和《消毒与灭菌效果的评价方法与标准》(GB1598121995)的方法和要求,于2009年对县级、民营、镇级及村级医疗机构进行了消毒效果监测。结果共监测各类医疗机构147家,监测室内空气、使用中消毒剂、医护人员手表面、环境物体表面、医疗器械、紫外线杀菌灯强度、压力蒸汽灭菌器等各种样品共1 369份,合格1 109份,总合格率为81.01%。县级医院、民营医院、乡镇医院、村级卫生室消毒监测合格率分别为88.98%、87.04%、85.75%、70.75%,差异有统计学意义(P<0.01)。各监测项目中医疗器械和压力蒸汽灭菌器合格率最高,均为100.00%,室内空气合格率最低,为43.18%。结论睢宁县各级医疗卫生单位消毒效果不平衡,村级医院是今后消毒监测的重点,同时应加强空气消毒工作的落实。
Objective To understand the disinfection effect of medical institutions at all levels in Suining County. Methods According to the methods and requirements of “Disinfection Technical Code”, “Medical Disinfection Health Standard” (GB1598221995) and “Method and Criteria for Disinfection and Sterilization Effectiveness” (GB1598121995) issued by the Ministry of Health, in 2009, Level and village-level medical institutions conducted disinfection monitoring. Results A total of 1 369 samples of various medical institutions were monitored, including indoor air, disinfectant used, surface of medical staff, surface of environmental objects, medical equipment, intensity of UV germicidal lamp, Passed 1 109 copies, the total pass rate was 81.01%. The qualified rate of disinfection monitoring at county level hospitals, private hospitals, township hospitals and village clinics was 88.98%, 87.04%, 85.75% and 70.75%, respectively, with significant difference (P <0.01). The qualified rate of medical instruments and pressure steam sterilizer in each monitoring project was the highest, both 100.00%, and the lowest passing rate of indoor air was 43.18%. Conclusion Suining county health institutions at all levels of disinfection is not balanced, the village hospital is the focus of future disinfection monitoring, air disinfection should also strengthen the implementation of the work.