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目的了解沈阳市医疗卫生机构消毒效果,防止医源性感染。方法根据《消毒技术规范》和《医院消毒卫生标准》,对全市各医疗机构的消毒效果进行现场采样监测。结果共监测医疗机构41家,采样1 330份,合格1 091份,平均合格率82.03%。2009-2011年合格率分别为80.84%、81.95%和83.29%。空气洁净手术室和普通手术室合格率分别为86.67%和61.25%;医务人员手合格率为77.06%;物体表面合格率为87.08%;灭菌器材合格率为94.30%;内镜合格率为83.33%;使用中消毒剂合格率为93.16%。结论沈阳市各医疗机构洁净手术室空气消毒合格率普遍好于普通手术室,应重视普通手术室的消毒工作,应加强无菌器材灭菌质量的监督和管理。
Objective To understand the disinfection effect of medical institutions in Shenyang to prevent iatrogenic infection. Methods According to “Technical Specifications of Disinfection” and “Sanitary Standards of Hospital Disinfection”, on-site sampling and monitoring of the disinfection effects of various medical institutions in the city were conducted. Results A total of 41 medical institutions were monitored and 1,303 samples were obtained, passing 1 091 samples with an average passing rate of 82.03%. The qualification rates in 2009-2011 were 80.84%, 81.95% and 83.29% respectively. The qualified rates of air clean operating room and ordinary operating room were 86.67% and 61.25% respectively; the passing rate of medical staff was 77.06%; the passing rate of object was 87.08%; the pass rate of sterilization equipment was 94.30%; the qualified rate of endoscopy was 83.33 %; Use disinfectant pass rate of 93.16%. Conclusion The passing rate of air disinfection in clean operating rooms of various medical institutions in Shenyang is generally better than that of ordinary operating rooms. The disinfection of ordinary operating rooms should be emphasized. Supervision and management of the quality of sterile equipment sterilization should be strengthened.