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目的了解潍坊市2012-2014年各级医疗机构的消毒状况,为相关部门制定管理策略提供科学依据。方法采用现场采样的方法,对潍坊市多个医疗机构的空气、物体表面、医务人员卫生手、使用中消毒剂、透析水(液)、消毒后内镜进行微生物检测。结果 3年间共监测样品3 367份,其中合格样品3 295份,合格率为97.9%。各医疗机构的消毒监测项目合格率在不同年份间有显著差异。不同级别的医疗机构的总合格率具有显著差异,其中专科医院合格率最高,为99.0%,私人诊所的合格率最低,为96.7%;不同监测项目中,使用中消毒剂和灭菌物品合格率最高,均为99.5%,透析水(液)的合格率最低,为87.3%,消毒后内镜合格率为88.5%。结论私人诊所的总体消毒水平较低。市级医院和县级医院消毒工作也存在一定问题,尤其是消毒后内镜、透析水/液的总合格率较低,相关部门应加强监督和管理。
Objective To understand the disinfection of medical institutions at all levels from 2012 to 2014 in Weifang City and provide scientific basis for the relevant departments to formulate management strategies. Methods The method of on - site sampling was used to detect the microorganisms in air, surface of objects, health hand of medical staff, disinfectant in use, dialysis water (liquid) and endoscope after disinfection in a plurality of medical institutions in Weifang City. Results A total of 3 367 samples were monitored during the three years, of which 3 295 were qualified samples with a pass rate of 97.9%. The qualification rates of disinfection monitoring projects of various medical institutions have significant differences in different years. The total pass rate of different levels of medical institutions have significant differences, of which the highest qualified hospital rate was 99.0%, the lowest rate of private clinics, 96.7%; different monitoring items, the use of disinfectants and sterilization items pass rate Highest, 99.5%, dialysis water (liquid) the lowest pass rate was 87.3%, endoscopic sterilization rate was 88.5%. Conclusion The overall level of disinfection in private clinics is low. Municipal hospital and county hospital disinfection there are some problems, especially after disinfection endoscopy, dialysis water / liquid total pass rate is lower, the relevant departments should strengthen supervision and management.