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目的了解通辽市各级医疗卫生单位消毒效果,为科学指导医院消毒工作、预防和控制医院感染提供科学依据。方法按卫生部《消毒技术规范》、《医院消毒卫生标准》(GB15982-1995)和《消毒与灭菌效果的评价方法与标准》(GB15981-1995)的方法和要求,从2009年起对辖区内的12所县级(及以上)医疗单位、8所乡(镇)级卫生院、55个村卫生室及个体诊所和5个校医室等不同规模医疗卫生单位的消毒灭菌质量进行了三年的动态监测。结果监测使用中的消毒剂、医务人员手、物体表面、室内空气等各种样品共633件,合格557件,平均合格率为87.9%;五类监测样品中合格率最高的是紫外线(100%),最低的是空气中的细菌含量(72%)。结论通辽市各级医疗卫生单位消毒效果不平衡,消毒合格率一般,乡村级医疗单位是今后消毒监测的重点,应加强医疗单位消毒质量管理,增强医护人员的无菌意识,提高医疗单位消毒合格率,有效防止医院感染。
Objective To understand the disinfection effect of medical and health units at all levels in Tongliao City and provide a scientific basis for scientific guidance on hospital disinfection and prevention and control of nosocomial infections. Methods According to the methods and requirements of “Disinfection Technical Code”, “Hospital Disinfection Health Standard” (GB15982-1995) and “Methods and Criteria of Disinfection and Sterilization Evaluation” (GB15981-1995) of the Ministry of Health, The quality of disinfection and sterilization of 12 medical units at county level (or above), 8 township (township) level hospitals, 55 village clinics and individual clinics and 5 medical schools, etc., Year of the dynamic monitoring. Results A total of 633 samples of various kinds of disinfectants, medical staffs’ hands, objects and indoor air were monitored and 557 were passed, with an average passing rate of 87.9%. Among the five types of monitoring samples, the highest pass rate was ultraviolet (100% ), The lowest is the airborne bacteria content (72%). Conclusion The disinfectant effect of medical and health units at all levels in Tongliao City is unbalanced and the disinfection pass rate is normal. The rural-level medical units are the focus of disinfection monitoring in the future. The disinfection quality management of medical units should be strengthened to enhance the sterile consciousness of medical staffs and improve the disinfection qualified of medical units Rate, effectively prevent nosocomial infections.