论文部分内容阅读
目的:了解大连市各级医疗机构消毒与灭菌质量状况,为预防和控制医源性感染提供依据。方法:采用现场采样检测方法,对医院的不同对象消毒质量进行监测。结果:2013年共采样895份,合格777份,平均合格率为86.82%;其中无菌物品和灭菌器生物监测合格率均为100.00%;室内空气、医护人员手、物体表面、使用中消毒剂、消化内镜、透析处理水和医院污水的合格率分别为85.00%、85.12%、88.46%、95.35%、75.61%、91.30%和86.21%。三级、二级和一级医疗机构的合格率依次为90.44%、82.58%和82.76%。结论:大连市各级各类医疗机构消毒与灭菌质量状况整体较好,但存在不同程度的问题,应加强薄弱环节的管理。
Objective: To understand the quality of disinfection and sterilization of medical institutions at all levels in Dalian, to provide basis for prevention and control of iatrogenic infection. Methods: On-site sampling and testing methods were used to monitor the disinfection quality of different objects in the hospital. Results: In 2013, a total of 895 samples were obtained, with a passing rate of 777 and an average passing rate of 86.82%. The pass rate of biomonitoring of sterilized articles and sterilizers was 100.00%. Indoor air, medical staffs’ hands and surfaces, The qualified rate of agents, digestive endoscopy, dialysis water and hospital sewage were 85.00%, 85.12%, 88.46%, 95.35%, 75.61%, 91.30% and 86.21% respectively. The qualified rates of tertiary, secondary and primary medical institutions were 90.44%, 82.58% and 82.76% respectively. Conclusion: The quality of disinfection and sterilization in various medical institutions at all levels in Dalian is generally good, but there are some problems in different degrees. We should strengthen the management of the weak links.