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目的了解广西壮族自治区直属医疗机构室内空气及医护人员手消毒效果和影响因素,以便改善和提高其卫生质量。方法采用现场采样和实验室检测方法,对自治区直属医疗机构室内空气和医护人员手消毒效果进行监测。结果 3年共采样1 193份,合格1 084份,消毒效果监测平均总合格率为90.9%,2009-2011年合格率分别为87.1%、90.9%和94.3%;室内空气和医护人员手合格率分别为93.5%和90.1%;医生手合格率为80.5%,护士手合格率为94.7%;采用传统消毒方法的室内空气合格率为88.8%,采用层流过滤技术的洁净空气合格率为99.2%。结论自治区直属医疗机构室内空气及医护人员手消毒质量总体较好,但仍需加强对消毒重点环节的监督与监测。
Objective To understand the hand disinfection effect and influencing factors of indoor air and medical staff in medical institutions under the jurisdiction of Guangxi Zhuang Autonomous Region in order to improve and enhance their hygienic quality. Methods The methods of on-site sampling and laboratory testing were used to monitor the indoor disinfection of indoor air and medical staff in medical institutions directly under the autonomous region. Results A total of 1 193 samples were obtained and 1 084 were qualified in 3 years. The average total qualification rate of disinfection monitoring was 90.9%, and the pass rates in 2009-2011 were 87.1%, 90.9% and 94.3% respectively. The passing rate of indoor air and medical staff 93.5% and 90.1% respectively; the passing rate of doctors’ hands was 80.5% and the pass rate of nurses was 94.7%; the passing rate of indoor air with traditional disinfection method was 88.8%; the passing rate of clean air with laminar flow filtration technology was 99.2% . Conclusion The quality of hand disinfection of indoor air and medical staff in the medical institutions directly under the autonomous region is generally good, but the supervision and monitoring on the key links of disinfection should still be strengthened.