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目的了解浙江省绍兴市医疗机构消毒与灭菌效果情况,以便加强医院感染控制和消毒工作质量。方法采用现场采样和调查方法,对所有医疗机构包括9家市级医疗单位、5家乡镇级卫生院、93家单位医务室进行了调查,监测内容主要为手术室、注射室、供应室等场所的空气、医务人员手、物体表面污染情况、使用中消毒液、高压灭菌效果、无菌包、紫外线灯管等。结果连续5年共采样5683份,总合格率为90.20%。不同调查对象中,医务人员手采样1753份,合格率为79.18%;物体表面采样966份,合格率为96.27%;使用中的消毒液采样1414份,合格率为99.08%;室内空气采样866份,合格率为85.91%;压力蒸汽采样156份,灭菌效果合格率为98.08%;紫外线灯管辐射强度采样241份,合格率为93.36%;无菌物品灭菌质量采样287份,合格率为99.30%。市级医疗机构采样2596份,合格率为95.11%;乡镇级医疗机构采样762份,合格率为89.24%;医务室采样2325份,合格率为85.03%。结论绍兴市医疗机构消毒灭菌质量整体水平比较好,但乡镇级和卫生室的合格率相对低,室内空气和医务人员手的合格率也相对低,需要加强医院卫生消毒管理。
Objective To understand the disinfection and sterilization effects of medical institutions in Shaoxing, Zhejiang Province in order to strengthen the quality of hospital infection control and disinfection. Methods By means of on-site sampling and investigation, all medical institutions including 9 municipal-level medical units, 5 township-level hospitals and 93 medical units were surveyed. The monitoring contents mainly include operating room, injection room and supply room Of the air, medical staff hands, the surface contamination of the object, the use of disinfectant, autoclave, sterile package, UV lamp and so on. The results of a total of 5,683 samples for a total of 5 years, with a total pass rate of 90.20%. Among the surveyed persons, 1753 were hand-sampled by medical staff, with a pass rate of 79.18%; 966 samples of the surface of the object with a pass rate of 96.27%; 1414 disinfectant samples were used with a pass rate of 99.08%; 866 indoor air samples , With a pass rate of 85.91%; 156 samples of pressure steam, the sterilization pass rate was 98.08%; UV lamp radiation intensity sample of 241, pass rate of 93.36%; Sterile goods sterilization quality sampling of 287, the pass rate was 99.30%. 2596 samples were taken by the municipal medical institutions, with a pass rate of 95.11%; 762 samples were collected at the township level by medical institutions with a pass rate of 89.24%; and 2325 samples in the clinic, with a pass rate of 85.03%. Conclusion The overall quality of disinfection and sterilization of medical institutions in Shaoxing is relatively good, but the passing rate of township and clinics is relatively low, and the passing rate of indoor air and medical staffs is relatively low. Therefore, it is necessary to strengthen the sanitation and disinfection management of hospitals.