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目的了解吐鲁番地区医疗机构消毒质量,探讨消毒监测中存在的问题,加强医院感染的监控力度。方法按照国家《医院消毒卫生标准》(GB15982-1995)、《消毒与灭菌效果的评价与标准》(GB15981-1995)和《消毒技术规范》(2002版)的要求对辖区内医疗机构进行消毒质量监测,收集采样检验和结果判断,收集2000～2009年吐鲁番地区疾病预防控制中心对医疗机构进行消毒监测的数据统计进行分析。结果对2000～2009年吐鲁番地区医疗机构进行室内空气、医护人员手、消毒液、物体表面、消毒锅、紫外线灯、致病菌等5项采样,共检测样品7 072份,合格5 579份,总合格率79.75%(5 579/7 072)。其中吐鲁番市采集样品2 695份,合格2 165份,合格率80.3%(2 165/2 695);鄯善县采集样品2 286份,合格1 810份,合格率79.1%(1 810/2 286);托克逊县采集样品2 091份,合格1 605份,合格率76.8%(1 605/2 091)。2000～2009年在吐鲁番地区所辖一市两县医疗机构中随机抽查了47台消毒压力锅,合格41台,合格率87.2%(41/47);紫外线灯113支,合格数84支,合格率74.3%(84/113)。结论 2000～2009年吐鲁番地区所辖一市两县医疗机构消毒质量有所提高,但效果不明显,今后应针对性地加强各级医疗机构消毒质量的监督和管理工作。
Objective To understand the quality of disinfection in medical institutions in Turpan, explore the problems in disinfection monitoring and strengthen the monitoring of hospital infection. Methods The medical institutions in the area were disinfected in accordance with the requirements of the National Standards for Disinfection and Hygiene (GB15982-1995), Evaluation and Standard of Disinfection and Sterilization Effects (GB15981-1995) and Disinfection Technical Specification (2002) Quality monitoring, sample collection and sampling test and judgment of results. The data collected from the Center for Disease Control and Prevention of Turpan Prefecture in 2000-2009 for disinfection and monitoring of medical institutions were collected and analyzed. Results A total of 7 072 samples, 5 579 samples were obtained from 5 medical samples collected from indoor air, medical staff, disinfectant, object surface, disinfection pot, UV lamp and pathogen in Turpan Prefecture from 2000 to 2009, The total pass rate of 79.75% (5 579/7 072). Among them, 2,695 samples were collected in Turpan city, 2,165 were qualified, with a pass rate of 80.3% (2 165/2 695); 2 286 samples collected in Shanshan County, which passed 1 810 copies with a pass rate of 79.1% (1 810/2 286 ); 2 091 samples were collected in Toxon County, of which 1 605 were qualified with a pass rate of 76.8% (1 605/2 091). From 2000 to 2009, 47 disinfection pressure cookers were randomly selected in medical institutions of two counties under the jurisdiction of Turpan Prefecture. There were 47 disinfection pressure cookers qualified, with a pass rate of 87.2% (41/47), 113 UV lamps, and the qualified number was 84, the pass rate 74.3% (84/113). Conclusion The quality of disinfection of medical institutions in one city and two counties under the jurisdiction of Turpan Prefecture increased from 2000 to 2009, but the effect was not obvious. In the future, the supervision and management of disinfection quality at all levels should be strengthened.