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目的了解宁阳县各级医疗机构的消毒质量,为控制院内感染及传染病的暴发流行提供依据。方法依据《消毒技术规范》、《消毒管理办法》、《医院感染监测规范》等卫生法律法规要求,于2008—2010年对宁阳县辖区内的2家县直医院、12家乡镇卫生院、128家村卫生室、22家个体诊所进行消毒质量抽样监测和现场调查。结果 2008—2010年共监测各类样本1 367份,合格1 215份,消毒质量监测总合格率为88.9%,3 a的合格率比较,差异有统计学意义(P<0.01)。3 a总合格率从高到低依次排列为灭菌医疗器械(96.7%)、使用中的消毒液(96.2%)、紫外线灯(95.8%)、医护人员手(88.4%),治疗间操作台表面(84.9%)、空气(77.6%)、口腔科牙钻(73.7%),各监测项目之间合格率比较,差异有统计学意义(P<0.01)。县直医院、乡镇卫生院、村卫生室、个体诊所各级医疗机构的消毒质量合格率分别为95.8%、90.2%、89.6%、75.3%,不同级别医疗机构合格率比较,差异有统计学意义(P<0.01)。结论宁阳县医疗机构消毒质量经监督管理及日常检查指导,合格率呈逐年上升趋势,但仍需进一步加强村卫生室、个体诊所等医疗机构的消毒质量监督管理力度。
Objective To understand the quality of disinfection of medical institutions at all levels in Ningyang County to provide basis for controlling outbreaks of nosocomial infections and infectious diseases. Methods According to the requirements of health laws and regulations such as “Disinfection Technical Specification”, “Disinfection Management Measures” and “Nosocomial Infection Monitoring Code”, from 2008 to 2010, two county-level hospitals, 12 township hospitals, 128 village clinics, 22 individual clinics for disinfection quality sampling monitoring and site investigation. Results A total of 1 367 samples of 1 215 samples were obtained during the period of 2008-2010. The total qualified rate of disinfection monitoring was 88.9%. There was significant difference (P <0.01) in the pass rate of 3 years. 3 a The total qualification rate was 96.7% for sterilization medical devices (96.2%), 96.2% for UV lamps (95.8%), 88.4% for health care workers (88.4%), and the treatment room console (84.9%), air (77.6%) and dentistry dental drill (73.7%). There was a significant difference in pass rate between monitoring items (P <0.01). The passing rate of the disinfection quality at county-level hospitals, township hospitals, village clinics and medical clinics at individual clinics was 95.8%, 90.2%, 89.6% and 75.3%, respectively. The differences in the passing rates of medical institutions at different levels were statistically significant (P <0.01). Conclusion The disinfection quality of medical institutions in Ningyang County has been on the rise year by year with the supervision and management and daily inspection and guidance. However, it is still necessary to further strengthen the supervision and management of the disinfection quality of medical institutions such as village clinics and individual clinics.