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目的了解新疆塔城市各级医疗机构消毒质量,确保医疗安全。方法按照国家《医院消毒卫生标准》(GB15982-1995)及《消毒技术规范》2002年版、《消毒与灭菌效果评价方法与标准》(GB15981-1995)、《医院感染管理规范(试行)》进行,检测项目有空气、物体表面、医护人员手、消毒剂。结果 2012—2013年对塔城市医疗卫生机构四项指标共采样588份,合格465份,合格率79.08%;两年间采集空气样品145份,合格率45.51%,物体表面样品142份,合格率94.36%,医护人员手样品162份,合格率85.80%;消毒剂样品139份,合格率93.52%,四项指标间差异有统计学意义(c2=143.96,P<0.05)。结论塔城市医疗卫生机构消毒质量还存在较多问题,空气和医护人员手仍是薄弱环节,建议今后卫生行政部门加强监管,确保医疗安全。
Objective To understand the disinfection quality of medical institutions at all levels in Tacheng, Xinjiang, to ensure medical safety. Methods According to the national standards for hospital disinfection and health (GB15982-1995) and Disinfection Technical Specification (2002 edition), Methods and Criteria for Disinfection and Sterilization (GB15981-1995) and Code of Practice for Nosocomial Infection (Trial) , Test items are air, surface objects, medical staff hand, disinfectant. Results A total of 588 samples were obtained from the four medical institutions in Tacheng during the period from 2013 to 2013, with a pass rate of 79.08% and a pass rate of 79.08%. 145 air samples were collected in two years with a passing rate of 45.51% and 142 surface samples with a pass rate of 94.36 %, 162 samples of medical staff hand, the passing rate of 85.80%; disinfectant samples 139, the pass rate of 93.52%, the four indicators was significantly different (c2 = 143.96, P <0.05). Conclusion There are still many problems in the quality of disinfection of medical and health institutions in Tacheng City. Air and medical staff are still the weak links. It is suggested that the health administrative departments should strengthen the supervision and ensure the medical safety in the future.