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目的了解锦州市医疗机构卫生消毒质量情况,为控制医院感染和提高消毒工作质量提供依据。方法根据2002年版《消毒技术规范》和GB 15982-2012《医院消毒卫生标准》的要求,对辖区内14家医疗机构室内空气、物体表面及医务人员手、使用中消毒剂、压力蒸汽灭菌器、无菌包和污水等消毒质量进行监测和评价。结果 3年共采样1 104份,合格976份,平均合格率为88.41%,2011年-2013年合格率依次为78.33%、91.40%和97.91%,呈逐年上升趋势。压力蒸汽灭菌器、无菌包和污水的合格率为100%,物体表面及手、使用中消毒剂合格率分别为92.77%、94.95%,空气合格率最低,为59.88%。结论锦州市医疗机构消毒质量在逐年提升,但仍存在不合格的情况,室内空气合格率较低,应该加强管理和监督监测,提高消毒质量。
Objective To understand the quality of sanitation and disinfection in medical institutions in Jinzhou and provide the basis for controlling hospital infection and improving the quality of disinfection. Methods According to the requirements of the 2002 edition of “Disinfection Technical Specification” and GB 15982-2012 “Sanitary Standard for Hospital Disinfection”, the indoor air, surface and medical staff of 14 medical institutions in the area, disinfectant used, pressure steam sterilizer , Sterile package and sewage disinfection quality monitoring and evaluation. Results A total of 1 104 samples were obtained in 3 years, 976 were passed, with an average passing rate of 88.41%. From 2011 to 2013, passing rates were 78.33%, 91.40% and 97.91%, respectively, showing an increasing trend year by year. The qualified rate of pressure steam sterilizer, aseptic package and sewage water is 100%. The passing rate of disinfectant on the surface of the object and in hand and in use are respectively 92.77% and 94.95%. The air passing rate is the lowest, which is 59.88%. Conclusion The disinfection quality of medical institutions in Jinzhou is increasing year by year, but there are still unqualified cases. The pass rate of indoor air is low. Management, supervision and monitoring should be strengthened to improve the quality of disinfection.