摘要
目的 分析评价宿州市医疗机构消毒工作质量及存在问题。方法 按照卫生部《消毒技术规范》等规定方法进行了细菌污染与紫外线灯辐照度调查。结果 全市医疗机构消毒总合格率在 71.3%～ 93.1%之间 ,平均 84 .9% ,呈逐年提高 ,差异有高度显著性 (χ2 =4 78.1,P <0 .0 1)。县及县以上、乡镇、村及个体医疗机构消毒合格率分别为 90 .1、75 .7%、84 .9% ,差异有高度显著性 ((χ2 =4 98.5 ,P <0 .0 1)。不同项目的合格率高低依次为压力蒸汽灭菌器 97.1%、无菌器械保存液 90 .4 %、紫外线灯 88.9%、使用中的消毒液 87.8%、医疗用品 83.4 %、物体表面与医护人员手 80 .6 %、空气 72 .6 %。以空气合格率为最低 ,样本间的消毒合格率差异有高度显著性 (χ2 =2 90 .1,P <0 .0 1)。结论 消毒灭菌工作是基层医院感染管理中的一个薄弱环节 ,存在很多问题 ,需采取切实可行措施加强管理 ,全面提高医疗单位消毒灭菌质量。
Objective Analyzing and estimating on disinfection quality and problems of medical institutions in Suzhou city. Methods bacteria contamination and ultraviolet light radiation were investigated with methods stipulated by Disinfection Technique Criterion of Ministry of Public Health. Results Average disinfection qualified rate of the institutions was 84.9% (71.3%～93.1%). The rate increased year by year. Disinfection qualified rate of the institutions at county or above, town, village or individual clinic levels was 90.1%, 75.7%, 84.9% respectively. There were significant differences between them (χ 2=498.5,P<0.01). The rates of different items were as follow: steam pressure sterilization: 97.1%, preserving liquid for germfree instruments: 90.4%, ultraviolet light: 88.9%. disinfection liquid: 87.8%, medical articles: 83.4%, object surface and medical workers hand: 80.6%, air: 72.6%. There were significant differences of disinfection qualified rate between different items (χ 2=290.1,P<0.01). Conclusions disinfection and sterilization were weak link of hospitals infection management. There existed a lot of problems. Thus, practical measures should be taken and the management should be strengthened in order to improve disinfection and sterilization quality of hospitals.
出处
《安徽预防医学杂志》
2002年第6期346-348,共3页
Anhui Journal of Preventive Medicine
关键词
宿州市
医院消毒
质量
污染检测
disinfection of hospitals
quality
contamination detection
