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目的了解青岛市医疗机构消毒效果状况。方法采用现场采样和实验室检测方法,对全市30所医疗机构消毒与灭菌效果进行监测。结果 2013年-2015年分别从各医疗机构手术室、供应室、产房和治疗室采集空气标本117份,合格98份,合格率为83.76%。青岛市不同规模医疗机构共检测医护人员手与物体表面标本569份,合格429份,合格率为75.40%。共检测医院污水样本60份,其中粪大肠菌群数合格率为71.67%,致病菌均未检出;压力蒸汽灭菌器共检测82份,合格率为100.00%;消毒后内镜检测42份,消毒效果平均合格率为78.57%。不同类别医疗机构中,社区医院的消毒合格率低于专科医院和综合医院。结论青岛市医疗机构消毒灭菌工作总体质量较好,但社区医院或卫生院的消毒合格率相对偏低,应引起重视,污水处理也有待加强。
Objective To understand the disinfection effect of medical institutions in Qingdao. Methods On-site sampling and laboratory testing methods were used to monitor the disinfection and sterilization of 30 medical institutions in the city. Results From 2013 to 2015, 117 air samples were collected from the operating rooms, supply rooms, delivery rooms and treatment rooms of various medical institutions, and 98 were qualified, with a pass rate of 83.76%. A total of 569 specimens of hand and object from medical staff of different scales in Qingdao were examined, which qualified 429 with a pass rate of 75.40%. A total of 60 samples were collected from the hospital, of which 71.67% of the fecal coliform bacteria passed the test. None of the pathogenic bacteria were detected. A total of 82 pressure steam sterilizers were tested with a pass rate of 100.00%. The endoscopic examination 42 The average disinfection effect pass rate was 78.57%. In different types of medical institutions, community hospitals disinfect qualified rate lower than specialist hospitals and general hospitals. Conclusion The overall quality of disinfection and sterilization in medical institutions in Qingdao is good, but the passing rate of disinfection in community hospitals or hospitals is relatively low, which should be paid more attention to and the sewage treatment needs to be strengthened.