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目的了解新昌县各类医疗机构消毒质量及其工作现状,以便加强医疗机构感染防控措施。方法对新昌县2008-2010年各类医疗机构的消毒效果进行监测,并对结果进行描述性分析。结果共采样1 001份,平均总合格率为87.11%,其中使用中消毒剂合格率为100.00%,诊室空气为92.06%,无菌器械为90.23%,物体表面为86.63%,医务人员手为68.23%,差异有统计学意义(P<0.01).不同类别医疗机构中,县级医院合格率为95.88%,企业及学校卫生室为90.00%,乡镇及街道卫生院为86.00%,社区服务站为85.14%,村卫生所为83.54%,个体诊所最低为83.40%,差异有统计学意义(P<0.01)。结论 2008-2010年新昌县各类医疗机构消毒质量总体较好,但物体表面和医务人员手及村卫生所和个体诊所的消毒合格率相对偏低,必须引起重视。建议相关部门加强监测与管理,进一步提高消毒工作质量。
Objective To understand the quality of disinfection and its working status in various medical institutions in Xinchang County in order to strengthen prevention and control measures of infection in medical institutions. Methods The disinfection effects of various medical institutions in Xinchang County during 2008-2010 were monitored, and the results were descriptively analyzed. Results A total of 1 001 samples were collected, with an average total passing rate of 87.11%. The pass rate of disinfectants in use was 100.00%, the air volume in the office was 92.06%, the number of sterile instruments was 90.23%, the surface of the object was 86.63% and the number of medical staff was 68.23 %, The difference was statistically significant (P <0.01). Among the different types of medical institutions, the qualified rate of county hospitals was 95.88%, that of enterprises and school clinics was 90.00%, that of townships and street hospitals was 86.00%, and that of community service stations was 85.14%, 83.54% in village clinics and 83.40% in private clinics, the difference was statistically significant (P <0.01). Conclusion The quality of disinfection of all kinds of medical institutions in Xinchang was generally good from 2008 to 2010, but the pass rate of disinfection on the surface of the objects and the hand and village clinics and individual clinics of medical staffs was relatively low, which deserved great attention. Relevant departments are advised to step up monitoring and management so as to further improve the quality of disinfection work.