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目的:了解奉化市各级医疗机构的消毒状况,分析存在的问题,改进消毒工作,提高消毒效果与质量,防止院内感染率的增加。方法:按照卫生部《消毒技术规范》、《医院消毒卫生标准》GB15982-1995、《消毒与灭菌效果的评价方法与标准》GB15981-1995,在2006~2008年对全市各级医疗机构的环境物体表面、医护人员的手、使用中的消毒液、空气等项目进行了抽样监测。结果:2006~2008年样品总合格率分别为72.8%、80.2%、83.2%,市级医疗机构总合格率为90.4%,乡镇卫生院为76.7%,个体诊所为64.6%,私立医院为76.9%。结论:奉化市医疗机构消毒效果呈逐年上升趋势,但仍需加强对空气、手、物表的消毒监测工作,特别是个体诊所的消毒质量更应加强。
Objective: To understand the disinfection of medical institutions at all levels in Fenghua, analyze the existing problems, improve disinfection work, improve the disinfection effect and quality, and prevent the increase of nosocomial infection rate. Methods: According to “Disinfection Technical Code” of the Ministry of Health, “Hospital Disinfection Health Standard” GB15982-1995, “Methods and Criteria for Disinfection and Sterilization Effectiveness” GB15981-1995, in the environment of medical institutions at all levels of the city from 2006 to 2008 The surface of the object, the hand of medical staff, the disinfectant in use, air and other items were sampled and monitored. Results: The total passing rate of samples from 2006 to 2008 was 72.8%, 80.2% and 83.2% respectively. The total pass rate of municipal medical institutions was 90.4%, that of township hospitals was 76.7%, that of individual clinics was 64.6% and that of private hospitals was 76.9% . Conclusion: The disinfection effect of medical institutions in Fenghua has been increasing year by year. However, the disinfection monitoring of air, hands and objects still needs to be strengthened. In particular, the disinfection quality of individual clinics should be strengthened.