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目的了解山西省部分医疗机构消毒与灭菌质量及卫生管理状况,为加强院内感染管理提供科学依据。方法采用现场抽样和细菌定量检验的方法,对山西省辖区内94所不同类型医疗机构的消毒与灭菌质量进行了监测与分析。结果从94所医疗机构监测到室内空气消毒效果平均合格率为92.11%,医护人员手和物体表面平均合格率为83.46%,内镜清洗消毒质量平均合格率为82.92%。压力蒸汽灭菌器生物监测平均总合格率为99.46%;无菌物品的灭菌质量合格率为93.68%。结论山西省不同类别医疗机构消毒质量和管理现状总体较好,但发展不平衡,无菌物品质量应引起特别关注。
Objective To understand the quality of disinfection, sterilization and health management of some medical institutions in Shanxi Province and provide a scientific basis for strengthening the management of nosocomial infections. Methods The methods of on-site sampling and bacterial quantification were used to monitor and analyze the disinfection and sterilization of 94 different types of medical institutions in Shanxi Province. Results The average passing rate of indoor air disinfection was 92.11%. The average pass rate of the hand and the surface of the medical staff was 83.46%. The average qualified rate of endoscope cleaning and disinfection was 82.92%. The average total qualified rate of pressure steam sterilizer biological monitoring was 99.46%; the passing rate of sterilized products was 93.68%. Conclusion The quality of disinfection and management in different types of medical institutions in Shanxi Province are generally good, but the uneven development and the quality of aseptic products should pay special attention.