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目的了解新疆奎屯市医疗机构消毒管理和消毒质量状况,以加强医院消毒管理,预防和控制院内感染。方法采用现场监测和采样检测的方法,对辖区内的各级医疗机构不同消毒卫生处理对象进行检测。结果 2008—2012年共采集样品1437份,总合格率为96.03%;2008-2012年合格率分别为97.06%、96.33%、98.88%、95.39%、93.77%。不同项目检测合格率由高到低依次为压力蒸汽灭菌器(99.20%)、使用中消毒剂(98.99%)、物体表面(96.69%)、医护人员手(93.75%)、紫外线灯辐照强度(90.11%)、手术室消毒后空气(76.77%)。结论奎屯市各级医疗机构消毒工作质量存在一定问题,手术室消毒后空气、紫外线灯辐照强度和医护人员的手是消毒方面存在的主要薄弱环节,需要采取进一步措施,加强监督和管理。
Objective To understand the disinfection management and disinfection quality of medical institutions in Kuitun, Xinjiang, to strengthen hospital disinfection management, prevent and control nosocomial infections. Methods The methods of on-site monitoring and sampling and testing were used to test the different disinfection and sanitation targets of medical institutions at all levels within the jurisdiction. Results A total of 1437 samples were collected during 2008-2012, with a total pass rate of 96.03%. The pass rates in 2008-2012 were 97.06%, 96.33%, 98.88%, 95.39% and 93.77% respectively. The passing rate of different items in descending order was as follows: pressure steam sterilizer (99.20%), disinfectant in use (98.99%), surface of object (96.69%), hand of medical staff (93.75%), irradiation intensity of UV lamp (90.11%), air disinfected in operating room (76.77%). Conclusion There are some problems in the quality of disinfection work at medical institutions at all levels in Kuitun. The intensity of air and ultraviolet lamp disinfection in the operating room and the hand of medical staff are the main weaknesses in disinfection. Further measures need to be taken to strengthen supervision and management.