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目的了解温州市医疗机构消毒质量和医院感染情况,为加强医院感染预防控制措施提供科学依据。方法采用现场调查和抽样检测方法对温州市19所县级以上医疗机构进行了监测。结果共抽检396件次,总合格率为84.60%。医疗机构室内空气合格率为72.22%,医护人员手合格率仅为60.81%,压力蒸汽灭菌器生物监测合格率为76.19%。2006~2007年共调查613 299例住院病人,医院感染发生率为4.43%,其中呼吸道感染率为56.27%,泌尿道感染率为15.28%。结论温州各级医疗机构消毒质量总合格率偏低,压力蒸汽灭菌器质量堪忧;医院感染部位以呼吸道感染为主。
Objective To understand the disinfection quality and hospital infection of medical institutions in Wenzhou and provide scientific basis for strengthening the prevention and control measures of nosocomial infection. Methods Field investigation and sampling methods were used to monitor the medical institutions in 19 counties above Wenzhou. Results a total of 396 sampling times, the total pass rate was 84.60%. The passing rate of indoor air of medical institutions was 72.22%, the passing rate of medical personnel was only 60.81%, and the pass rate of biological steam sterilization by pressure steam sterilizer was 76.19%. From 2006 to 2007, a total of 613 299 inpatients were investigated, and the incidence of nosocomial infection was 4.43%, of which respiratory tract infection rate was 56.27% and urinary tract infection rate was 15.28%. Conclusion The total qualified rate of disinfection quality in medical institutions at all levels in Wenzhou is low, and the quality of pressure steam sterilizer is worrying. The main infection area of the hospital is respiratory tract infection.