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目的:通过对桐乡市5家县级以上医疗机构的监测,了解这5家医院的预防性消毒工作质量,督促加强院感控制工作,提高消毒质量。方法:采用现场随机采样方法,对桐乡市5家县级以上医疗机构进行消毒质量监测。结果:2012-2014年共检测样品522份,合格445份,总合格率85.25%。2012年、2013年、2013年总体合格率分别为85.54%、84.66%、85.56%,各年份之间总体合格率在统计学上差异无显著性(P>0.05)。各监测项目中,使用中消毒液、透析用水及高压灭菌锅最高,均为100%,其次分别为物体表面(98.65%)、医护人员手(97.26%)、室内空气(94.87%)、内镜(87.50%)、医院污水(73.33%)及口腔科用水(50.82%);特别是口腔科用水中的口腔冲洗水和手机喷水合格率低,仅为35.29%、41.18%。结论:桐乡市县级以上医疗机构的总体消毒效果较好,但仍存在薄弱环节,尤其是口腔科用水合格率低,应当予以重视。
OBJECTIVE: To monitor the quality of preventive disinfection in five hospitals in Tongxiang by monitoring the five medical institutions above county level, and urge to strengthen the control of hospital yard and improve the quality of disinfection. Methods: The on-site random sampling method was used to monitor the disinfection quality of five medical institutions above the county level in Tongxiang City. Results: From 2012 to 2014, a total of 522 samples were tested, 445 were qualified, with a total pass rate of 85.25%. The overall pass rates in 2012, 2013 and 2013 were 85.54%, 84.66% and 85.56%, respectively. There was no significant difference in the overall passing rate between years (P> 0.05). Among the monitoring items, disinfectant, dialysis water and autoclave were the highest, both were 100%, followed by the surface of the object (98.65%), medical staff (97.26%), indoor air (94.87% (87.50%), hospital sewage (73.33%) and stomatology water (50.82%). In particular, the pass rate of oral flushing water and mobile phone in stomatology water was low, only 35.29% and 41.18%. Conclusion: The overall disinfection effect of medical institutions above the county level in Tongxiang City is good, but there are still some weak points, especially the low qualified rate of dental water, which should be taken seriously.