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目的了解社区卫生服务机构消毒和灭菌质量、医院内感染的重点区域和重要环节,为有效控制和降低院内感染发生提供依据。方法按《消毒管理办法》和《医院感染管理办法》的要求对辖区内的社区卫生服务中心及服务站开展消毒效果监测。结果 2014-2015年对本辖区内44家社区卫生服务机构开展消毒效果监测,共采集各类标本1 047份,平均合格率为94.94%,合格率最高的为物体表面、使用中消毒液和高压蒸汽灭菌效果,均为100.00%;其次为医务人员手(96.61%),空气(95.96%),灭菌器材(95.65%),紫外线灯管(93.67%);合格率最低的为医院污水(50.91%)。结论天河区基层社区医疗卫生机构消毒效果总体达到相关要求,医务人员手、医院污水、灭菌物品和紫外线灯灯管合格率偏低,需加强监督和管理。
Objective To understand the quality of disinfection and sterilization of community health service agencies, key areas and important links of infection in hospitals and provide the basis for effective control and reduction of nosocomial infections. Methods According to the requirements of “Disinfection Management Measures” and “Nosocomial Infection Management Measures”, the disinfection effect monitoring was conducted on the community health service centers and service stations in the area. Results From 2014 to 2015, 44 community health service agencies in this area were monitored for disinfection effects. A total of 1 047 specimens of all kinds were collected with an average passing rate of 94.94%. The highest pass rates were the surface of the object, the disinfectant used and the high-pressure steam Followed by medical staff (96.61%), air (95.96%), sterilization equipment (95.65%) and UV lamp (93.67%). The lowest qualified rate was hospital wastewater (50.91% %). Conclusion The disinfection effect of community-based medical and health institutions in Tianhe district generally meets the relevant requirements. The qualified rate of medical staff, hospital effluent, sterilized articles and ultraviolet lamp is low, and supervision and management need to be strengthened.