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目的为了解集安市医疗机构消毒工作质量及存在的问题,找出相关影响因素,以提高消毒质量高,减少医源性感染的发生。方法连续6年对集安市180家医疗机构手术室、供应室、母婴同室、注射室、处置室的空气、物体表面、医护人员手、使用中消毒剂和压力蒸汽灭菌器灭菌效果进行采样检测。结果 6年共采样3 337份,平均总合格率为83.5%。物体表面、医疗人员手、空气、灭菌物品和使用中消毒液合格率分别为86.4%、76.9%、64.4%、100.00%和92.3%;2005-2010年合格率依次为78.4%、78.4%、77.2%、85.5%、89.1%和90.8%。县直医疗机构、乡镇卫生院和个体诊合格率分别为92.4%、84.0%和81.3%。结论集安市医疗机构消毒质量呈逐年上升趋势,但总体较差,尤其是室内空气和医护人员手合格率较低,今后应进一步加强监测与管理。
Objective To understand the quality and existing problems of disinfection work in medical institutions in Ji’an, find the relevant factors to improve the quality of disinfection and reduce the occurrence of iatrogenic infection. Methods The sterilization effect of air, object surface, medical staff, disinfectant and steam sterilizer in operating room, supply room, maternity room, injection room and treatment room of 180 medical institutions in Ji’an for 6 consecutive years Sampling test. Results A total of 3 337 samples were collected in 6 years, with an average total passing rate of 83.5%. The qualified rates of disinfectant on the surface of the objects, medical personnel, air, sterilized articles and in use were respectively 86.4%, 76.9%, 64.4%, 100.00% and 92.3%; the passing rates in 2005-2010 were 78.4%, 78.4% 77.2%, 85.5%, 89.1% and 90.8%. The direct medical institutions, township hospitals and individual clinics pass rates were 92.4%, 84.0% and 81.3%. Conclusion The disinfection quality of medical institutions in Ji’an City is on the rise year by year, but it is generally poor. In particular, the passing rate of indoor air and medical staffs is low, and the monitoring and management should be further strengthened in the future.