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目的结合基层医疗机构的特点,探讨如何做好基层医疗机构的消毒隔离管理工作。方法压力蒸汽灭菌器监测依据GB 15981—1995《消毒与灭菌的效果评价方法与标准》进行;室内空气、物体表面、医护人员手等项目监测依据GB 15982—1995《医院消毒卫生标准》进行;医院污水监测依据GB 18466—2005《医疗机构水污染物排放标准》进行。结果 2009年-2014年对全区各级医疗机构采样监测7 150件,检验合格6 807件,平均合格率为95.20%,其中以室内空气合格率最低为83.48%,其余项目的合格率由低至高依次为:医护人员手(93.94%)、物体表面(98.17%)、压力灭菌器(98.52%)、污水(98.90%)、使用中的消毒剂(100.00%);近年来社区卫生服务中心消毒隔离工作进步明显。结论依法管理,规范工作,因地制宜地开展消毒隔离管理工作,可有效提高基层医疗机构消毒隔离的工作质量。
Objective To explore how to do the disinfection and isolation management of primary medical institutions in combination with the characteristics of primary medical institutions. Methods Pressure steam sterilizer monitoring was conducted according to GB 15981-1995 Methods and Criteria for Evaluating the Effectiveness of Disinfection and Sterilization. Monitoring of indoor air, surface of objects, hand of healthcare workers, etc. was conducted according to GB 15982-1995 “Sanitary Standards for Hospital Disinfection” ; Hospital sewage monitoring based on GB 18466-2005 “medical institutions water pollutant discharge standards”. Results From 2009 to 2014, a total of 7 150 medical institutions were sampled and monitored in the district, with 6 807 tests passing the test. The average pass rate was 95.20%. The lowest passing rate of indoor air was 83.48%, while the remaining pass rates were lower (93.94%), surface of the object (98.17%), pressure sterilizer (98.52%), sewage (98.90%) and disinfectant in use (100.00%). In recent years, the community health service center Disinfection work has improved significantly. Conclusion According to the law management, standardize the work, according to local conditions to carry out disinfection and isolation management, which can effectively improve the quality of disinfection and isolation of primary health care institutions.