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目的了解江苏省无锡市锡山区医疗机构消毒质量现状,加强医院感染管理,为制定院内感染预防控制措施提供科学依据。方法 2010年与2014年采用现场随机抽样检测方法监测锡山区医疗机构,对比分析两个年度的消毒质量监测结果。结果 2010年与2014年锡山区医疗机构监测样品分别为421份和382份,总合格率为87.41%和94.76%,2014年的合格率明显高于2010年,差异有统计学意义(χ2=13.10,P<0.01);2010年和2014年社区卫生服务中心的总合格率分别为87.76%和95.27%、差异亦有统计学意义(χ2=6.40,P<0.05),二级综合医院的总合格率分别为87.86%和95.56%、差异有统计学意义(χ2=7.27,P<0.01),民营医院的总合格率分别为78.95%和87.88%、差异无统计学意义(χ2=0.74,P>0.05)。结论锡山区医疗机构的消毒工作仍有待加强,找出消毒中存在的问题,采取科学的干预措施已刻不容缓。
Objective To understand the status quo of disinfection quality of medical institutions in Xishan District of Wuxi City, Jiangsu Province, strengthen the management of hospital infection and provide a scientific basis for the prevention and control measures of nosocomial infection. Methods In 2010 and 2014, on-site random sampling was used to monitor the medical institutions in Xishan District, and the results of two years’ disinfection quality monitoring were compared. Results The monitoring samples of medical institutions in Xishan District in 2010 and 2014 were 421 and 382 respectively, with a total pass rate of 87.41% and 94.76%. The pass rates in 2014 were significantly higher than those in 2010 (χ2 = 13.10 , P <0.01). The total pass rate of community health service centers in 2010 and 2014 were 87.76% and 95.27%, respectively, with statistical significance (χ2 = 6.40, P <0.05) (Χ2 = 0.27, P <0.01). The total eligible rates in private hospitals were 78.95% and 87.88%, respectively, with no significant difference (χ2 = 0.74, P> 0.05). Conclusion Disinfection of medical institutions in Xishan District still needs to be strengthened. To find out the problems in disinfection, it is urgent to adopt scientific intervention measures.