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目的了解医院消毒灭菌工作质量,为合理制定医院感染防控措施提供科学依据。方法对医院室内空气、物体表面、灭菌后物品、医务人员手、紫外线灯、透析用水和使用中的消毒液进行采样监测,并对监测结果进行分析。结果共采样2 402份,合格2 223份,平均总合格率为92.5%,2010-2012年合格率分别为90.0%、92.6%和94.8%,其中灭菌后物品、使用中的消毒液、紫外线灯、透析用水、医务人员手、空气和物体表面合格率分别为100%、98.9%、94.4%、94.0%、91.5%、88.6%和88.6%。结论该医院消毒与灭菌效果良好,但仍存在薄弱环节,应通过监测和持续改进,进一步提高医院消毒灭菌质量。
Objective To understand the quality of disinfection and sterilization in hospitals and provide a scientific basis for the reasonable formulation of prevention and control measures of nosocomial infections. Methods Sampling and monitoring the indoor air, the surface of the object, the articles after sterilization, the hand of the medical staff, the ultraviolet lamp, the dialysis water and the disinfectant in use were analyzed and the monitoring results were analyzed. Results A total of 2 402 samples were obtained and 2 223 samples were qualified. The average total pass rate was 92.5%. The pass rates in 2010-2012 were 90.0%, 92.6% and 94.8% respectively. The sterilized items, disinfectant in use, ultraviolet The passing rates of lamp, dialysis water, medical staff, air and objects were 100%, 98.9%, 94.4%, 94.0%, 91.5%, 88.6% and 88.6% respectively. Conclusion The hospital has good disinfection and sterilization effects, but there are still some weak links. The quality of disinfection and sterilization in hospitals should be further improved through monitoring and continuous improvement.