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目的了解鄂州市医疗机构消毒的工作质量,规范医疗机构感染控制,预防医源性感染的发生。方法按照国家检测标准对医疗机构的环境空气、医护人员手、物体表面、医疗器械(胃镜、牙钻等)及使用中消毒剂进行消毒质量监测,并用SPSS17.0统计软件对数据进行分析。结果 2013-2015年鄂州市医疗机构消毒监测样品总数分别为1345份、1623份、1287份,合格率分别为90.3%、91.5%、89.9%,总合格率为90.7%,3年的合格率比较差异无统计学意义(χ~2=119.14,P>0.05)。使用中消毒液的合格率100.0%,其次为医护人员手和物体表面,空气中细菌含量的合格率最低。结论 3年间鄂州市医疗机构消毒灭菌质量水平较好,但室内空气合格率相对较低,需要加强医疗机构环境空气的消毒管理,解决环境空气消毒灭菌存在的问题,降低医源性感染的几率,提高医疗机构消毒整体质量。
Objective To understand the quality of disinfection of medical institutions in Ezhou, regulate the infection control of medical institutions and prevent the occurrence of iatrogenic infection. Methods According to the national testing standards, the quality of disinfection was monitored with the air of the medical institutions, the hands of medical staff, the surfaces of objects, medical instruments (gastroscope, dental drill, etc.) and the disinfectants used. The data were analyzed by SPSS17.0 statistical software. Results The total number of disinfection monitoring samples in medical institutions in Ezhou in 2013-2015 were 1345, 1623 and 1287 respectively, with the pass rates of 90.3%, 91.5% and 89.9% respectively, with a total pass rate of 90.7%. The pass rates of 3 years were compared The difference was not statistically significant (χ ~ 2 = 119.14, P> 0.05). Disinfectant used in the pass rate of 100.0%, followed by medical staff and objects surface, the air content of bacteria in the lowest pass rate. Conclusion The quality of disinfection and sterilization of medical institutions in Ezhou is good in 3 years, but the passing rate of indoor air is relatively low, so it is necessary to strengthen the disinfection management of ambient air in medical institutions to solve the problems of disinfection and sterilization of ambient air and to reduce the risk of iatrogenic infection Risks, improve the overall quality of disinfection of medical institutions.