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目的了解荆门市口腔诊疗机构执业活动状况,分析执业过程中潜在的感染因素,提出管理对策及控制措施。方法现场调查各项消毒措施落实情况,同时采集相关样品进行消毒效果检测。结果在调查的72家单位中,制定了消毒隔离制度的有61家,占84.7%;诊疗室与消毒室分开的有54家,占75.0%;定时开展空气消毒的有49家,占68.1%;诊疗器械“一人一用一消毒”的单位有71家,占98.6%;制定了培训制度并定期开展消毒技术培训的有63家,占87.5%;制定医护人员手卫生制度的有49家,占68.1%。共检测各类样品1 406份,合格1 150份,合格率为81.8%。其中物体表面监测216份,合格166份,合格率76.9%;空气监测360份,合格249份,合格率69.2%;诊疗器械监测398份,合格390份,合格率98.0%;医护人员手监测288份,合格201份,合格率69.8%;压力蒸汽灭菌器监测144份,合格率100.0%。结论口腔门诊感染因素多,必须加强预防控制措施,减少医院感染发生。
Objective To understand the status of practicing activities of dental clinics in Jingmen City, analyze the potential infection factors during the practice, and propose management countermeasures and control measures. Methods On-site investigation of the implementation of disinfection measures, while collecting the relevant samples for disinfection test. Results In the surveyed 72 units, 61 disinfection and isolation systems were formulated, accounting for 84.7%; 54 clinics and 75.0% were separated from the disinfection rooms; 49 were air disinlers regularly, accounting for 68.1% ; There are 71 units of medical equipment “one for each with one disinfection”, accounting for 98.6%; 63 training systems have been established and 87.5% of them regularly carry out disinfection training; there are 49 Home, accounting for 68.1%. A total of 1 406 samples of all kinds were tested, 1 150 were qualified, with a pass rate of 81.8%. Among them, there were 216 objects on the surface and 166 were qualified, with a pass rate of 76.9%; 360 air monitoring stations and 249 pass rates, with a pass rate of 69.2%; 398 medical device monitoring points and 390 pass points with a pass rate of 98.0% A total of 201 were passed with a passing rate of 69.8%. A total of 144 steam sterilizers were monitored with a pass rate of 100.0%. Conclusion There are many factors in oral outpatient infection. Prevention and control measures must be strengthened to reduce the occurrence of nosocomial infections.