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目的了解兰州市医疗机构消毒质量,为加强医院感染与消毒管理提供科学依据。方法通过现场采样和细菌学检验,对兰州市511所不同级别医疗机构消毒质量连续7年监测资料进行了调查与分析。结果共采集各种标本4 967份,平均总合格率为88.00%。厂矿医院和民营医院消毒质量合格率分别为90.38%和93.81%,县区级医院合格率为89.12%,市级医院合格率为88.14%,社区卫生服务中心和个体诊所合格率分别为83.40%和70.94%。不同监测对象中,室内空气和紫外线灯质量合格率最低,分别为84.51%和78.19%;无菌器材灭菌合格率为96.54%。结论兰州市各级医疗机构消毒质量有待提高,应进一步落实医院消毒管理制度,加强监督与监测。
Objective To understand the quality of disinfection of medical institutions in Lanzhou, to provide a scientific basis for strengthening hospital infection and disinfection management. Methods Through on-site sampling and bacteriological tests, the monitoring data of disinfection quality in 511 different levels of medical institutions in Lanzhou for seven consecutive years were investigated and analyzed. Results A total of 4 967 specimens were collected, with an average total passing rate of 88.00%. The pass rate of disinfection quality in factories, mines and hospitals was 90.38% and 93.81% respectively. The passing rate of county-level hospitals was 89.12% and that of municipal hospitals was 88.14%. The passing rates of community health service centers and individual clinics were 83.40% and 70.94%. Among the different monitoring objects, the qualified rate of indoor air and ultraviolet lamp was the lowest, 84.51% and 78.19% respectively; the pass rate of sterilized equipment was 96.54%. Conclusion The quality of disinfection of medical institutions at all levels in Lanzhou need to be improved. The hospital disinfection management system should be further implemented to strengthen supervision and monitoring.