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目的了解山西省医疗机构消毒效果的现状,改进医院消毒方法和措施,控制医院感染。方法采用现场抽样和微生物检验的方法,对2012年28所不同规模、不同体制、不同类型的医院消毒质量进行动态监测。结果消毒效果合格率95.24%,其中综合医院、专科医院和民营医院合格率分别为96.5%、95.3%和93.8%,内镜和室内空气合格率较低,分别是83.33%和87.21%;医护人员手及物体表面、医院污水、使用中消毒剂、无菌用品、压力蒸汽灭菌器、紫外线灯和透析液都在90.00%以上。结论山西省各级各类医疗机构消毒现状发展不平衡,存在的问题较多,建议应加强卫生管理,进一步完善监督监测制度,加大专项投入。
Objective To understand the status quo of disinfection effect of medical institutions in Shanxi Province, to improve hospital disinfection methods and measures to control hospital infection. Methods On-site sampling and microbiological tests were used to monitor the disinfection quality in 28 hospitals of different scales, different systems and types in 2012. Results The pass rate of disinfection was 95.24%. The pass rates of general hospitals, special hospitals and private hospitals were 96.5%, 95.3% and 93.8% respectively, and the pass rates of endoscopy and indoor air were lower, which were 83.33% and 87.21% respectively; Hand and object surfaces, hospital effluents, disinfectants used, aseptic products, autoclaves, UV lamps and dialysate are all above 90.00%. Conclusion There is an unbalanced development of disinfection in various medical institutions at all levels in Shanxi Province. There are many problems in this regard. It is suggested that health management should be strengthened to further improve supervision and monitoring system and increase special input.