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目的了解医院的消毒质量和存在的问题,为进一步完善医院的消毒隔离工作,控制医院感染提供依据。方法对医院室内空气、物体表面、医务人员手、使用中的消毒剂、消毒物品、灭菌物品、消毒后的胸水和引流液、清洗消毒后的衣物、紫外线灯辐照强度进行采样检测。结果 3年共采样4 083份,合格3 760份,平均合格率为92.09%。2010-2012年合格率分别是89.83%、93.52%和93.02%。不同监测项目中,无菌物品、清洗消毒后的衣物类合格率最高,为100%;其次是使用中消毒液、消毒物品、消毒后胸水引流液和物体表面,合格率分别为99.73%、97.92%、97.65%和96.20%;有室内空气、医务人员手和紫外线灯合格率较低,分别为88.70%、76.00%和75.14%。结论医院消毒质量总体较好,但仍有薄弱环节,应进一步加强医院消毒管理和监测工作,及时发现医院感染的各种隐患,降低医院感染的发生。
Objective To understand the quality and existing problems of disinfection in hospitals and provide basis for further disinfection and isolation of hospitals and control of hospital infection. Methods Sampling tests were performed on the indoor air, the surface of the objects, the hands of the medical staff, the disinfectants, sterilized articles, sterilized articles, pleural fluid and draining liquid after disinfection, the clothes after disinfection and disinfection, and the intensity of ultraviolet light irradiation. Results A total of 4 083 samples were obtained in 3 years, with 3 760 passes, with an average pass rate of 92.09%. The pass rates in 2010-2012 are 89.83%, 93.52% and 93.02% respectively. In the different monitoring items, the pass rate of sterile articles and garments after cleaning and disinfection is the highest, which is 100%; followed by the disinfectant, disinfectant, disinfection of pleural effusion and the surface of the objects after disinfection, the pass rates are 99.73% and 97.92 %, 97.65% and 96.20% respectively. There was a low pass rate of 88.70%, 76.00% and 75.14% for indoor air, medical staff and ultraviolet lamps respectively. Conclusions The quality of disinfection in hospitals is generally good, but there are still some weak links. It is necessary to further strengthen the management and monitoring of hospital disinfection, discover various hidden dangers of hospital infection in time and reduce the occurrence of nosocomial infections.