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目的了解无锡市锡山区医务人员手卫生状况,提出相应的手卫生改进措施,为控制院内感染及传染病的暴发流行提供依据。方法 2010~2015年用棉拭子涂抹采样,对无锡市锡山区20家不同级别的医疗机构728名医务人员手卫生质量进行监测。结果 2010~2015年共采集医务人员手728份,平均合格率为84.07%(612/728)。2010年合格率最低(77.39%),2012年最高(88.39%)(P>0.05)。不同监测场所中,手术室医务人员手合格率最高为98.72%,口腔科和检验科的医务人员手合格率较低,分别为72.50%(29/40)、75.47%(80/106)(P<0.01);不同级别医疗机构中,二级综合医院合格率最高,为87.28%(343/393),其余依次为社区卫生服务中心(81.85%)、民营医院及个体诊所(72.22%)(P<0.01)。结论无锡市锡山区医疗机构医务人员手消毒合格率总体较好,呈逐年上升趋势。
Objective To understand the status of hand hygiene of medical staff in Xishan District of Wuxi City and put forward corresponding hand hygiene improvement measures to provide the basis for controlling the outbreak of nosocomial infection and infectious diseases. Methods Samples from 2010 to 2015 were swabbed with cotton swabs to monitor the hand hygiene quality of 728 medical workers from 20 different levels of medical institutions in Xishan District of Wuxi City. Results A total of 728 medical staff were collected from 2010 to 2015, with an average passing rate of 84.07% (612/728). In 2010 the lowest pass rate (77.39%), the highest in 2012 (88.39%) (P> 0.05). In different monitoring sites, the highest pass rate of medical staff in operating room was 98.72%, and the passing rate of medical staff in stomatology and laboratory was lower, which were 72.50% (29/40) and 75.47% (80/106) respectively <0.01). Among the different levels of medical institutions, the second-level general hospitals had the highest pass rate of 87.28% (343/393), followed by community health service centers (81.85%), private hospitals and individual clinics (72.22%) (P <0.01). Conclusion The qualified rate of disinfection of medical staff in medical institutions of Xishan District in Wuxi City is generally good, showing an upward trend year by year.