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目的分析滁州市2009～2012年部分医疗机构消毒质量情况,找出消毒工作中存在的问题,为预防和控制医源性感染提供依据。方法按卫生部《消毒技术规范》、《医疗消毒卫生标准》和《消毒与灭菌效果的评价方法与标准》的方法和要求对173家医疗机构,采集来自于空气、物体表面、医护人员手、使用中消毒液、灭菌医疗用品、压力蒸汽灭菌器、紫外线灯样品5 506份,通过检测,评价消毒效果。结果 5 506份样品中,合格率为87.1%,2009～2012年合格率分别为82.2%、85.5%、89.1%、90.5%,合格率呈上升趋势,差异有统计学意义(χ2=59.14,P<0.01);县级、私营、村级三级医疗机构检测合格率分别为89.7%、83.0%、86.1%,差异有统计学意义(χ2=47.81,P<0.01)。结论滁州市医疗机构消毒质量逐年提高,仍需进一步加强对医护人员的消毒知识与技术培训,定期开展监督检查工作。
Objective To analyze the disinfection quality of some medical institutions in Chuzhou City from 2009 to 2012 and find out the problems existing in disinfection work so as to provide the basis for prevention and control of iatrogenic infection. Methods According to the methods and requirements of “Disinfection Technical Code”, “Medical Disinfection Sanitary Standard” and “Evaluation Method and Standard of Disinfection and Sterilization Effect” of the Ministry of Health, 173 medical institutions were collected from the surface of air, objects, medical staff , In use disinfectant, sterile medical supplies, pressure steam sterilizer, UV lamp samples 5 506 copies, through testing, evaluation of disinfection. Results Among 5 506 samples, the pass rate was 87.1%. The pass rates from 2009 to 2012 were 82.2%, 85.5%, 89.1% and 90.5% respectively. The passing rate showed an upward trend with a significant difference (χ2 = 59.14, P <0.01). The passing rates of the three levels of medical institutions at the county, private and village level were 89.7%, 83.0% and 86.1%, respectively. The difference was statistically significant (χ2 = 47.81, P <0.01). Conclusion The quality of disinfection of medical institutions in Chuzhou increased year by year, still need to further strengthen the disinfection knowledge and technical training of medical staff, and carry out supervision and inspection on a regular basis.