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目的了解平顶山市2010-2013年医疗机构消毒效果监测情况,为控制和预防院内感染提供科学依据。方法采用现场采样和细菌定量检测方法,对市区内医疗机构的消毒效果进行监测。结果 4年共检测各类样品2 760份,合格率为91.63%,2010-2013年合格率呈逐年下降趋势;灭菌后物品、压力蒸汽灭菌器和医疗机构污水合格率均为100.00%,而室内空气、氧气湿化瓶和医护人员手合格率分别为58.33%、76.47%和88.14%;各级各类医疗机构消毒效果无显著性差异。结论平顶山市医疗机构消毒效果监测总体合格率偏低并且有逐年下降趋势,今后需加强技术知识培训和监督管理,从而将院内感染控制在较低水平。
Objective To understand the monitoring results of disinfection in medical institutions in Pingdingshan from 2010 to 2013 and provide a scientific basis for the control and prevention of nosocomial infections. Methods On-site sampling and bacterial quantitative detection methods were used to monitor the disinfection effect of medical institutions in the urban area. Results A total of 2 760 samples of various types were tested in 4 years, with a passing rate of 91.63%. The passing rate of 2010 to 2013 showed a decreasing trend year by year. The passing rates of the sterilized articles, pressure steam sterilizer and medical institutions were all 100.00% The passing rate of indoor air, oxygen humidification bottle and medical staff were 58.33%, 76.47% and 88.14% respectively. There was no significant difference in disinfection effect between various types of medical institutions at all levels. Conclusion The overall pass rate of disinfection monitoring in medical institutions in Pingdingshan is low and declines year by year. In the future, it is necessary to strengthen the training and supervision of technical knowledge so as to control the nosocomial infection at a low level.