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目的了解大理州医疗机构消毒灭菌状况,加强医院感染控制及医疗机构的消毒管理工作。方法用现场抽检方法对医疗机构的室内环境空气、物体表面、医务人员手、医疗用品、使用中消毒液进行采样和检测。结果大理州医疗机构消毒质量合格率为88.04%,其中灭菌用品及浸泡液合格率最高,为93.08%;环境空气合格率最低,为80.55%,具有显著性差异(P<0.01);州级医院合格率最高,为99.76%;个体诊所及村卫生所合格率最低,为80.61%,有显著性差异(P<0.01);12县市中大理市合格率最高,为90.82%;南涧县合格率最低,为80.98%,具有显著性差异(P<0.01)。结论全州各县医疗机构中各类物品的消毒效果存在差异,级别越高的医疗机构消毒与灭菌效果越好,个体诊所及村卫生所存在薄弱环节,应加强管理,严格要求,提高消毒工作的质量。
Objective To understand the status of disinfection and sterilization in medical institutions in Dali Prefecture and to strengthen the disinfection and management of hospital infection control and medical institutions. Methods The spot sampling method was used to sample and test the indoor environment air, the surface of the objects, the hand of the medical staff, the medical supplies and the disinfectant in use in the medical institutions. Results The qualified rate of disinfection in medical institutions in Dali Prefecture was 88.04%, with the highest pass rate of sterilizing products and soaking liquid being 93.08%; the passing rate of ambient air was the lowest (80.55%), with significant difference (P <0.01) The highest pass rate was 99.76% in hospitals; the lowest pass rate was 80.61% in individual clinics and village clinics (P <0.01); the highest pass rate was 90.82% in Dali County, 12 counties; Nanjian County The lowest pass rate was 80.98%, with significant difference (P <0.01). Conclusion There are differences in the disinfection effects of various items in the medical institutions in all counties. The higher the level of disinfection and sterilization of medical institutions, the better the individual clinics and village clinics are weak links should be strengthened to strengthen the strict requirements and improve disinfection The quality of work.