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目的了解通化市医疗机构消毒现状,为预防和控制医院内感染提供依据。方法对通化市168家医疗机构诊疗环境的空气、物体表面、医护人员手、使用中消毒剂、灭菌物品进行采样监测,检测细菌菌落总数及致病菌。结果 10年共采样14 145件,合格10 871件,平均合格率为76.85%。不同监测项目中,压力蒸汽灭菌器、使用中消毒液、紫外线灯强度、消毒及灭菌医疗用品合格率较高,分别为98.79%、96.15%、96.19%和91.9%;物体表面和医护人员手合格较低分别为81.88%和74.85%;空气合格率最低,为48.21%。不同级别医疗机构中,市级医疗机构合格率较高,为88.98%;社区卫生服务站合格率最低,为68.45%。结论通化市医疗机构消毒质量呈逐年提高趋势,但室内空气和医护人员手合格率偏低,卫生监督机构和疾病预防控制中心应加强消毒监督和培训工作,促进医疗机构不断提高消毒灭菌质量,减少医院感染的发生。
Objective To understand the status of disinfection Tonghua medical institutions for the prevention and control of nosocomial infections provide the basis. Methods Sampling and monitoring of air, surface of objects, hand of medical staff, disinfectant and sterilized articles in 168 medical institutions in Tonghua City were performed to detect the total number of bacterial colonies and pathogenic bacteria. Results A total of 14 145 samples were obtained in 10 years, with a total of 10 871 samples, with an average passing rate of 76.85%. Among the different monitoring items, the qualified rate of sterilizer, disinfectant in use, intensity of ultraviolet lamp, medical products for disinfection and sterilization were higher, which were 98.79%, 96.15%, 96.19% and 91.9% respectively; the surface of the object and the medical staff Hand lower qualified were 81.88% and 74.85% respectively; air pass rate was the lowest, 48.21%. Among different levels of medical institutions, the qualified rate of municipal-level medical institutions is high, which is 88.98%; the lowest rate of community health service stations is 68.45%. Conclusion The disinfection quality of medical institutions in Tonghua City has been increasing year by year, but the passing rate of indoor air and medical staffs is low. Health supervision agencies and CDC should strengthen supervision and training on disinfection and promote the continuous improvement of quality of disinfection and sterilization in medical institutions, Reduce the occurrence of nosocomial infections.