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目的了解安阳县县乡医疗机构的消毒现状及存在问题,以便科学指导医院消毒工作,减少和控制医院感染的发生。方法按照卫生部《消毒技术规范》(2002年版)和《医院消毒卫生标准》(GB15982-1995)的要求对县乡医疗机构进行消毒效果监测。结果全县医疗机构总合格率65.47%。县级医院合格率76.92%,乡镇卫生院合格率60.76%,两者差异有统计学意义(χ2=10.64,P<0.01)。其中使用中消毒剂合格率94.2%,物体表面合格率79.01%,医务人员手合格率61.76%,室内空气合格率44.12%。结论县级医院消毒效果明显好于乡镇卫生院,提示乡镇卫生院是今后督导检查的重点,特别是空气消毒工作的落实。
Objective To understand the status quo and existing problems of disinfection of medical institutions in county and township in Anyang County in order to guide the disinfection of hospitals and scientifically guide the hospital to reduce and control the occurrence of nosocomial infections. Methods According to the requirements of Ministry of Health “Disinfection Technical Specification” (2002 edition) and “Hospital Disinfection Health Standard” (GB15982-1995), the disinfection effect of county and township medical institutions was monitored. Results The county medical institutions with a total pass rate of 65.47%. The qualified rate of county-level hospitals was 76.92% and that of township hospitals was 60.76%. The difference was statistically significant (χ2 = 10.64, P <0.01). Disinfectants in which the pass rate of 94.2%, the object surface pass rate of 79.01%, medical staff pass rate of 61.76%, indoor air pass rate of 44.12%. Conclusion The disinfection effect of county-level hospitals is obviously better than that of township hospitals, suggesting that township hospitals are the focus of supervision and inspection in the future, especially the implementation of air disinfection.