目的调查、分析宝鸡市24所市直医疗机构院内感染、消毒、灭菌状况,为改进和提高医院消毒管理工作质量提供依据。方法现场调查医疗机构的消毒管理现状、组织制度、人员配置、医院感染知识抽查、医院污水调查等,并对空气、物体表面、使用中消毒剂、医护人员手、各种医疗器械和紫外线辐射强度进行监测。结果 4年共采样964份,合格837份,平均总合格率为86.83%。空气、物体表面、无菌器械、使用中消毒剂和紫外线灯合格率分别为81.16%、90.97%、83.99%、98.68%和74.19%。三级医院、二级医院和一级医院合格率分别为95.90%、88.52%和84.28%。2005~2008年合格率依次为75.85%、91.70%、90.66%、90.76%。结论宝鸡市市直医疗机构消毒质量总体较高,且呈逐年提高趋势,但也存在薄弱环节,应进一步加强管理,提高消毒质量。 Objective To investigate and analyze the status of nosocomial infection, disinfection and sterilization in 24 direct medical institutions in Baoji City, and provide basis for improving and improving the quality of hospital disinfection management. Methods On-site investigation of the status quo of disinfection management, organizational system, staffing, hospital infection knowledge sampling, hospital sewage investigation and so on, and on the air, the surface of the object, the use of disinfectants, medical staff, all kinds of medical equipment and ultraviolet radiation intensity Monitoring. Results A total of 964 samples were taken in 4 years, with 837 passes, with an average total passing rate of 86.83%. The pass rates of air, surface of objects, sterile instruments, disinfectants and UV lamps in use were 81.16%, 90.97%, 83.99%, 98.68% and 74.19% respectively. The passing rates of tertiary hospitals, secondary hospitals and primary hospitals were 95.90%, 88.52% and 84.28% respectively. From 2005 to 2008, the pass rates were 75.85%, 91.70%, 90.66% and 90.76% respectively. Conclusion The disinfection quality of Baoji direct marketing medical institutions is generally high, and shows a trend of increasing year by year, but there are also weak links. Management should be further strengthened to improve the quality of disinfection.