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目的了解漳州市托幼机构消毒卫生状况,加强托幼机构卫生管理,有效预防传染病发生与流行。方法采用现场抽检方法对室内空气、物体表面、工作人员手和餐(饮)具的消毒卫生状况进行监测。结果 2010-2012年连续3年对托幼机构消毒质量进行监测,总合格率为89.65%(1 031/1 150),各年份平均合格率分别为89.83%、89.52%、88.57%,年份间差异无统计学意义(χ2=0.147,P﹥0.05)。不同监测对象中室内空气合格率最低,为64.54%;物体表面、工作人员手、餐(饮)具的监测结果较好,合格率分别为91.01%、91.74%、97.35%,合格率的差异有统计学意义(χ2=117.49,P<0.01)。不同检测项目中,致病菌监测合格率最高,为100.00%;其次为大肠菌群,合格率为97.81%;最低为细菌总数,合格率为86.08%,是影响消毒质量的主要因素。市县两级托幼机构消毒质量监测合格率分别为89.71%和89.62%,市级略高于县级托幼机构,但两级托幼机构合格率差异无统计学意义(χ2=0.002,P﹥0.05)。结论我市托幼机构卫生消毒总体质量较好,呈良性发展态势。但室内空气卫生质量明显偏低,应作为重点对象加强监督管理。
Objective To understand the disinfection and sanitation status of nurseries and kindergartens in Zhangzhou and strengthen the health management of nurseries and nurses, effectively preventing the occurrence and prevalence of infectious diseases. Methods On-the-spot sampling method was used to monitor the disinfection and sanitation of indoor air, object surface, staff’s hand and meal (drink). Results The disinfection quality of nurseries and kindergartens was monitored for three consecutive years from 2010 to 2012, with a total pass rate of 89.65% (1031/150). The average pass rates in each year were 89.83%, 89.52% and 88.57% respectively. The difference between years No statistical significance (χ2 = 0.147, P> 0.05). The indoor air pass rate of the different monitoring objects is the lowest, which is 64.54%; the monitoring results of the surface of the object, the staff’s hand and the meal are good, the pass rates are 91.01%, 91.74% and 97.35% Statistical significance (χ2 = 117.49, P <0.01). Among the different test items, the highest passing rate of pathogen detection was 100.00%, followed by coliform bacteria, with a pass rate of 97.81%. The lowest was the total number of bacteria with a pass rate of 86.08%, which was the main factor affecting the quality of disinfection. The qualification rates of disinfection quality monitoring of nurseries and nurseries at city and county level were 89.71% and 89.62% respectively, and the municipal level was slightly higher than that of county nurseries and nurses, but there was no significant difference in qualification rate between two nurseries (χ2 = 0.002, P > 0.05). Conclusion The overall quality of sanitation and disinfection in kindergartens and nurseries in our city is good, showing a benign trend of development. However, the indoor air quality of health was significantly lower, should be focused on strengthening supervision and management.