摘要
目的了解杭州市三级医疗机构消毒灭菌质量现状,为提高本地区医疗机构消毒灭菌质量提供基础数据,预防控制医院感染事件。方法采用现场采样和监测方法,对杭州市29家三级医疗机构消毒灭菌质量进行监测分析。结果2016-2018年29家三级医疗机构的消毒质量监测总体合格率为90.05%。医务人员手、治疗用水、使用中消毒液、内镜、无菌用品和污水合格率有统计学差异(P<0.001),医务人员手、使用中消毒液、内镜和无菌用品合格率较高,治疗用水和污水合格率较低。不同年份医务人员手、治疗用水、使用中消毒液、内镜和无菌用品的合格率无统计学差异(P>0.05),不同年份污水合格率差异有统计学意义,2018年高于2016和2017年(P=0.005)。省级医疗机构与市级医疗机构的消毒灭菌质量监测结果无统计学差异(P>0.05)。结论杭州市三级医疗机构消毒灭菌质量总体较高,需加强不同种类治疗用水的知识培训与监测工作。
Objective To investigate the current situation of the disinfection and sterilization quality in Hangzhou tertiary medical institutions,and to provide basic data for improving the disinfection and sterilization quality of local medical institutions,so as to prevent and control nosocomial infection.Methods Field sampling and monitoring methods were used to monitor and analyze the disinfection and sterilization quality of 29 tertiary medical institutions in Hangzhou from 2016 to 2018.Results From 2016 to 2018,the overall qualification rate of disinfection quality monitoring in 29 tertiary medical institutions was 90.05%.The qualified rate of medical staff's hands,therapeutic water,disinfectant in use,endoscope,sterile products and sewage was statistically different(P<0.001).The qualified rates of medical staff's hands,disinfectant in use,endoscope and sterile products were higher than that of therapeutic water and sewage.There was no statistically significant difference in the qualified rates of medical staff's hands,therapeutic water,disinfectant in use,endoscope and sterile products in different years(P>0.05),and the difference in the qualified rates of sewage in different years was statistically significant,which was higher in 2018 than that in 2016 and 2017(P=0.005).There was no significant difference in the monitoring results of disinfection and sterilization quality between provincial and municipal medical institutions(P>0.05).Conclusion The quality of disinfection and sterilization in Hangzhou tertiary medical institutions is generally high,and it is necessary to strengthen the knowledge training and monitoring of different kinds of therapeutic water.
作者
金慧
王慧敏
陈冰冰
徐虹
沈林海
曹阳
孔庆鑫
倪晓平
JIN Hui;WANG Hui-min;CHEN Bing-bing;XU Hong;SHEN Lin-hai;CAO Yang;KONG Qing-xin;NI Xiao-ping(Hangzhou Center for Disease Control and Prevention,Hangzhou Zhejiang 310021,China)
出处
《中国消毒学杂志》
CAS
2019年第12期925-927,共3页
Chinese Journal of Disinfection
基金
浙江省医药卫生科技计划项目(2018KY636)
2018年杭州市科技计划引导项目(20191228Y19)
关键词
消毒
灭菌
三级医疗机构
监测
disinfection
sterilization
tertiary medical institutions
surveillance
