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目的了解桐乡市口腔诊疗机构消毒与灭菌质量,有效控制和减少医源性感染的发生。方法采用现场抽样检测方法对室内空气、物体表面、医护人员手、灭菌医疗器械、使用中消毒液、口腔注水、压力蒸汽灭菌器进行监测。结果 3年共采样893份,平均总合格率为82.98%,2007~2009年合格率依次为77.35%、80.55%、91.41%。室内空气、医护人员手、物体表面、使用中消毒液、医疗器械、口腔注水、压力蒸汽灭菌和HBsAg污染合格率分别为40.85%、85.37%、89.00%、99.14%、81.82%、49.06%、100%和100%。结论桐乡市口腔诊疗机构消毒质量总体不高,尤其是室内空气质量和口腔注水等合格率很低,应建立健全消毒质量管理,制定消毒管理制度,提高口腔诊疗消毒工作的质量。
Objective To understand the quality of disinfection and sterilization in Tongxiang oral clinics and to effectively control and reduce the occurrence of iatrogenic infections. Methods The on-the-spot sampling method was used to monitor the indoor air, the surface of the object, the hand of medical staff, the sterile medical equipment, the disinfectant in use, the oral water injection and the pressure steam sterilizer. Results A total of 893 samples were collected in 3 years, with an average total passing rate of 82.98%. The passing rates in 2007-2009 were 77.35%, 80.55% and 91.41% respectively. The passing rates of indoor air, medical staff’s hand, object surface, disinfectant in use, medical equipment, oral water injection, pressure steam sterilization and HBsAg contamination were 40.85%, 85.37%, 89.00%, 99.14%, 81.82%, 49.06% 100% and 100%. Conclusion The overall quality of disinfection in Tongxiang Dental Clinic is not high. In particular, the indoor air quality and oral water injection rate are very low. Quality management of disinfection should be established, disinfection management system should be established, and the quality of oral disinfection should be improved.