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目的:了解佛冈县医疗机构消毒质量的整体状况,找出佛冈县医疗机构院内感染的薄弱环节,尽早消除不安全隐患,为提高全县医疗机构的消毒管理工作水平提供依据。方法:按照卫生部《消毒技术规范》、GB15982-1995《医院消毒卫生标准》和《广东省医疗机构、托幼机构消毒质量监测技术方案》等要求进行监测检验。结果:2009年-2011年共监测医疗机构消毒样品5710份,合格5332份,连续三年的消毒质量合格率依次为91.28%、94.63%、94.09%,三年平均合格率为93.38%;室内空气合格率60.15%、医护人员手86.21%、紫外灯辐射强度96.01%、物体表面97.14%;县级、镇级、村级、个体及县城不同区域合格率有显著性差异。结论:消毒质量总平均合格率与近年广东省医疗机构消毒监测结果 91.04%基本接近,但室内空气与医护人员手合格率与全省相比则偏低,需要采取相应措施以提高总体消毒质量水平。
Objective: To understand the overall status of disinfection quality of medical institutions in Fogang County, identify the weak links of nosocomial infection in medical institutions in Fogang County, to eliminate unsafe hidden dangers as soon as possible, and to provide basis for improving the disinfection management level of medical institutions in Fogang County. Methods: In accordance with the requirements of Ministry of Public Health “disinfection technical specifications”, GB15982-1995 “hospital disinfection and health standards” and “Guangdong Province medical institutions, nurseries disinfection quality monitoring technical programs” and other requirements for monitoring and testing. Results: A total of 5,710 disinfectant samples were obtained from medical institutions in 2009-2011, 5332 were qualified. The passing rate of disinfection quality for three consecutive years was 91.28%, 94.63% and 94.09% respectively, with an average pass rate of 93.38% in three years. The indoor air Pass rate 60.15%, medical staff 86.21%, UV lamp radiation intensity 96.01%, object surface 97.14%; county, town level, village level, individual and county seat in different regions have a significant difference in passing rate. Conclusion: The overall average passing rate of disinfection quality is close to 91.04% of the disinfection monitoring results of medical institutions in Guangdong Province in recent years. However, the passing rate of indoor air and medical staff is rather low compared with that of other provinces. Corresponding measures need to be taken to improve the overall quality of disinfection .