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目的了解武冈市各级医疗机构的消毒质量,为控制医院内感染提供依据。方法按卫生部《消毒技术规范》的要求于2005-2007年对武冈市辖区内所有的市直医疗机构、乡镇卫生院、乡镇计生服务所、个体诊所和部分村卫生室进行消毒质量抽样监测。结果2005-2007年共监测各类样本1 367份,合格1 215份,消毒质量监测总合格率为88.9%,3年合格率比较差异有统计学意义(P<0.01)。3年总合格率从高到低依次为灭菌医疗器械(96.7%)、使用中的消毒液(96.2%)、紫外线灯(95.8%)、医护人员手(88.4%)、治疗间操作台表面(84.9%)、空气(77.6%)、口腔科牙钻(73.7%),各监测项目间合格率比较差异有统计学意义(P<0.01)。市(县)、乡、村、个体各级医疗机构消毒质量合格率分别为95.8%、90.2%、89.6%、75.3%,不同级别医疗机构合格率比较差异有统计学意义(P<0.01)。结论武冈市医疗机构消毒质量经监督管理,合格率逐年上升,但应进一步加强村卫生室、个体诊所等医疗机构的消毒监督管理工作。
Objective To understand the quality of disinfection of medical institutions at all levels in Wugang and provide the basis for the control of nosocomial infections. Methods According to the requirements of “Technical Specifications for Disinfection” of the Ministry of Health, the quality of disinfection sampling was monitored during 2005-2007 in all municipal medical institutions, township hospitals, township health centers, individual clinics and some village clinics in Wugang. Results A total of 1 367 samples of 1 215 samples of various types were monitored during 2005-2007. The total qualification rate of disinfection quality monitoring was 88.9%. The difference in 3-year pass rates was statistically significant (P <0.01). The total qualified rate in three years was sterilized medical equipment (96.7%), disinfectant in use (96.2%), ultraviolet lamp (95.8%), medical staff’s hand (88.4% (84.9%), air (77.6%) and stomatology dental drill (73.7%). There was significant difference in pass rate between monitoring items (P <0.01). The passing rate of disinfection quality of medical institutions at municipal (county), township, village and individual levels was 95.8%, 90.2%, 89.6% and 75.3%, respectively. The passing rates of medical institutions at different levels were significantly different (P <0.01). Conclusion The quality of disinfection of medical institutions in Wugang has been supervised and managed, and the pass rate has been increasing year by year. However, the disinfection supervision and management of medical institutions such as village clinics and individual clinics should be further strengthened.