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目的调查分析2014—2016年洛阳市涧西区各级医疗卫生机构卫生消毒情况,评估其消毒效果,以改善医疗机构消毒工作质量,预防医源性传染病的传播,提高感染控制水平。方法随机选取部分洛阳市涧西区各级医疗卫生机构,对选取医疗机构对象2014—2016年卫生消毒效果监测数据进行回顾性分析,评估其消毒质量,并比较不同级别医疗机构、消毒环境的消毒效果差异。结果共选取医疗机构32家,其中三级医疗机构2家,二级医疗机构6家,一级医疗机构10家,社区卫生机构(社区卫生服务中心、诊所或卫生室)14家。各级医疗机构不同年份消毒检测合格率无统计学差异(P>0.05);2014-2016年三级医疗机构消毒合格率均优于一级和社区卫生机构,差异有统计学意义(P<0.05);但三级和二级医疗机构消毒效果差异无统计学意义(P>0.05)。结论 2014—2016年洛阳市涧西区各级医疗卫生机构卫生消毒质量整体较高,但不同级别医疗机构消毒质量存在明显差异,仍需提高消毒卫生检测水平。
Objective To investigate and analyze the sanitation and disinfection of health institutions at all levels in Jianxi District of Luoyang City from 2014 to 2016 and evaluate the disinfection effect so as to improve the quality of disinfection work in medical institutions and prevent the spread of iatrogenic infectious diseases and improve the level of infection control. Methods The health care institutions at all levels in Jianxi District of Luoyang were selected at random to conduct a retrospective analysis on the monitoring data of health disinfection effects of selected medical institutions from 2014 to 2016 to evaluate the disinfection quality and to compare the disinfection effects of different levels of medical institutions and disinfection environment difference. Results A total of 32 medical institutions were selected, including 2 tertiary medical institutions, 6 secondary medical institutions, 10 primary medical institutions and 14 community health institutions (community health centers, clinics or clinics). There was no significant difference (P> 0.05) in the pass rate of disinfection in different years among all levels of medical institutions. The pass rate of disinfection of tertiary medical institutions in 2014-2016 was better than that of Grade I and community health institutions (P <0.05) ). However, there was no significant difference in disinfection effect between tertiary and secondary medical institutions (P> 0.05). Conclusion The quality of sanitation and disinfection of medical institutions at all levels in Jianxi District of Luoyang City was generally high from 2014 to 2016. However, there were significant differences in disinfection quality between different levels of medical institutions, and the level of disinfection and hygiene testing still needed to be improved.