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目的规范乌鲁木齐市沙依巴克区医疗机构消毒质量,防止医院内感染的发生,为提高医疗机构服务质量、预防医院内感染提供科学依据。方法依据《医院消毒卫生标准》GB 15982-2012、《医疗机构消毒技术规范》WS/T 367-2012对物体表面进行采样、检测及评价。结果不同物体表面菌落总数(χ2=194.82)、不同级别的医疗机构物体表面(χ2=4.31)、不同个体医疗诊所物体表面(χ2=8.20)监测合格率差异有统计学意义(均P<0.05)。结论一级卫生医疗机构消毒效果合格率高、消毒设施齐全、管理水平与措施到位,而个体医疗诊所在硬件条件和管理上均与前者存在较大的差距,应建立有效的监督、监测机制,规范医疗机构消毒卫生管理,加大消毒效果的监测力度。
Objective To standardize the disinfection quality of medical institutions in Shayibake District of Urumqi to prevent the occurrence of nosocomial infections and provide a scientific basis for improving the service quality of medical institutions and preventing nosocomial infections. Methods According to “Hospital Sanitation Standard” GB 15982-2012, “Sterilization Technical Specification of Medical Institutions” WS / T 367-2012, the surface of the object was sampled, tested and evaluated. Results The total number of colony on the surface of different objects (χ2 = 194.82), the surface of the medical institutions at different levels (χ2 = 4.31), the monitoring qualified rate of the surface of the individual medical clinics (χ2 = 8.20) were statistically significant . Conclusion The first-level health care institutions have a high disinfection efficiency rate, complete disinfection facilities, management level and measures in place, and individual medical clinics have a big gap with the former in terms of hardware conditions and management. Effective supervision and monitoring mechanisms should be established, Standardize medical institutions disinfection and health management, increase the monitoring of disinfection.