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目的了解濮阳市华龙区医疗机构消毒现状,加强消毒管理,为控制医源性感染提供科学依据。方法按《消毒技术规范》要求对三级医疗机构采样监测。结果共监测样品1281份,合格1127份,总合格率为87.98%;2012、2013年医疗机构消毒质量合格率分别为87.05%和88.90%,差异无统计学意义(u=1.018,P>0.01);不同级别医疗机构消毒合格率依次为:区级医疗机构96.59%,医疗中心95.83%,社区级82.97%,区级与中心级差异无统计学意义(u=0.9335,P>0.01)但中心级和社区级差异有统计学意义(u=5.088,P<0.01);不同监测项目间差异有统计学意义(χ2=87.94,P<0.01)。结论医疗机构间和不同监测项目间消毒效果存在差异有统计学意义,今后要依据监测结果,抓住工作重点,切实加强医疗机构消毒知识和技术培训,加大卫生监督的力度,防止医源性感染。
Objective To understand the status quo of disinfection in Hualong district of Puyang city and to strengthen disinfection management to provide a scientific basis for controlling iatrogenic infection. Methods According to “disinfection technical specifications” on the three-tier medical institutions sampling and monitoring. Results A total of 1281 monitoring samples were obtained, with a total of 1127 samples passing the test. The total pass rate was 87.98%. The passing rates of disinfection quality in medical institutions in 2012 and 2013 were 87.05% and 88.90% respectively, with no significant difference (u = 1.018, P> 0.01) ; The qualified rate of disinfection of medical institutions at different levels was 96.59% at the district-level medical institutions, 95.83% at the medical centers and 82.97% at the community level with no significant difference between the district level and the center level (u = 0.9335, P> 0.01) And community-level differences were statistically significant (u = 5.088, P <0.01). There were significant differences among different monitoring items (χ2 = 87.94, P <0.01). Conclusion There are significant differences in disinfection effect between medical institutions and different monitoring projects. In the future, we should focus on the work according to the monitoring results, strengthen the disinfection knowledge and technical training of medical institutions, increase the supervision of health and prevent the occurrence of iatrogenic infection.