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目的对医院环境卫生学监测结果进行分析,探讨影响监测结果的相关因素。方法分别收集专职人员与兼职人员对我院1992~2006年所做环境卫生学常规监测结果的记录并进行汇总分析。结果专职人员对重点科室共采样5138份,合格4577份,合格率89.08%,空气、物体表面、医护人员手合格率分别为82.41%、89.67%、94.59%;检出致病菌6次。兼职人员对本科室共采样48509份,合格48416份,总合格率99.81%。空气、物体表面、医护人员手合格率分别为99.65%、99.94%、99.93%;专职与兼职人员监测合格率比较,有显著性差异(P<0.05)。结论医院环境清洁、良好的洗手设施及正确洗手与否,是影响监测结果的重要因素。提示医院感染的控制应以保持环境清洁、改善洗手设施,正确洗手及主动洗手为基本切入点。
Objective To analyze the monitoring results of hospital environmental hygiene and discuss the related factors that affect the monitoring results. Methods The full-time staffs and part-time staffs were recruited to collect and analyze the routine monitoring results of environmental hygiene made in our hospital from 1992 to 2006. Results A total of 5,158 full-time staff were sampled in key departments, with a pass rate of 4577, with a pass rate of 89.08%. The passing rates of air, object surfaces and medical staff were 82.41%, 89.67% and 94.59%, respectively. Pathogenic bacteria were detected 6 times. Part-time staff sampled 48,509 copies of the department room, qualified 48,416 copies, the total pass rate of 99.81%. The passing rates of air, objects and medical staffs were 99.65%, 99.94% and 99.93% respectively. There was a significant difference (P <0.05) in the pass rate of full-time and part-time staffs. Conclusion The hospital environment is clean, good hand-washing facilities and proper hand-washing or not, is an important factor affecting the monitoring results. It is suggested that the control of nosocomial infections should be based on keeping the environment clean, improving the hand washing facilities, washing the hand and washing hands properly.