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目的了解基层部队医疗机构感染管理与消毒质量状况,加强基层医疗机构感染管理。方法采用现场检查和采样检测方法,对驻西北16个基层部队医疗机构感染管理和消毒现状进行调查。结果该部基层医疗机构基本建立了感染管理组织,职业防护培训和防护检查的合格率分别为43.8%和18.8%。紫外线灯辐射强度监测开展率为12.5%、合格率为45.7%,使用中化学消毒剂浓度合格率96.1%,均未开展压力蒸汽灭菌器的生物学监测和医疗器械的消毒质量监测。结论该部基层部队医疗机构在感染管理和消毒质量监测上存在明显不足,今后应加强监督检查。
Objective To understand the status of infection management and disinfection quality of medical units in the grassroots units and strengthen the infection management of primary medical institutions. Methods In-situ inspection and sampling methods were used to investigate the status of infection management and disinfection of 16 medical units in the northwestern China. Results The basic medical institutions in this department basically established an infection management organization. The pass rates of occupational protection training and protective examination were 43.8% and 18.8% respectively. The monitoring rate of UV lamp radiation intensity was 12.5%, the pass rate was 45.7%, and the pass rate of chemical disinfectant in use was 96.1%. No biomonitoring of pressure steam sterilizer and monitoring of the quality of disinfection of medical devices were carried out. Conclusion The grassroots military medical units in this unit have obvious deficiencies in the quality control of infection management and disinfection. Supervision and inspection should be strengthened in the future.