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目的分析2011-2013年中宁县各级医疗机构消毒工作质量现况,为规范全县医疗机构消毒工作,预防和控制医源性感染提高依据。方法对全县186家医疗机构进行消毒质量监测,按照GB15982-1995/2012《医院消毒卫生标准》评价分析。结果 2011-2013年共检测样品1 623份,合格率84.78%;3年的合格率分别为80.36%、83.88%和89.88%,呈上升趋势,差异有统计学意义(χ2=20.34,P<0.005);二级医院、一级医院和一级以下医疗卫生机构合格率分别为98.63%、92.59%和80.83%,差异有统计学意义(χ2=50.96,P<0.005)。使用中消毒液合格率最高,室内空气最低。结论中宁县医疗机构消毒质量逐年提高,但基层消毒管理工作未完全落实到位,要采取综合有效的管理措施,杜绝医源性感染的发生。
Objective To analyze the quality of disinfection work in medical institutions at all levels in Zhongning from 2011 to 2013, and to standardize the disinfection work of medical institutions in the county to improve the prevention and control of iatrogenic infection. Methods A total of 186 medical institutions in the county were monitored for disinfection quality, according to GB15982-1995 / 2012 “hospital disinfection health standards” evaluation analysis. Results A total of 1 623 samples were tested in 2011-2013, with a pass rate of 84.78%. The three-year pass rates were 80.36%, 83.88% and 89.88%, respectively, showing an upward trend with a statistically significant difference (χ2 = 20.34, P <0.005) ). The pass rates of secondary hospitals, primary hospitals and health institutions below level I were 98.63%, 92.59% and 80.83%, respectively. The difference was statistically significant (χ2 = 50.96, P <0.005). Disinfectant used in the highest pass rate, the lowest indoor air. Conclusion The disinfection quality of medical institutions in Zhongning County increased year by year, but the disinfection management at the grassroots level was not fully implemented. Comprehensive and effective management measures should be taken to prevent the occurrence of iatrogenic infection.