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目的了解太谷县不同级别医疗机构消毒灭菌质量状况,为做好医疗机构感染控制工作提供依据。方法采用现场抽样和检测方法,对医疗机构消毒与灭菌质量进行检测。结果 2007~2009年室内空气合格率为65.35%~71.25%;物体表面合格率为55.07%~58.96%;医护人员手合格率为68.47%~78.92%;使用中消毒剂合格率为96.18%~98.24%;紫外线灯管合格率为91.67%~94.39%;压力蒸汽灭菌器灭菌合格率为100%。不同级别医疗机构中,县级医疗机构为86.14%~91.95%;社区卫生所为89.19%~90.24%;乡卫生院为82.79%~84.71%;个体诊所为76.16%~88.38%;村卫生所为66.42%~79.20%。结论太谷县医疗机构消毒效果总体较好,但个体诊所和村卫生所消毒质量较差,主要是乡村诊所医务人员消毒意识不强,消毒设施不足,应加强消毒工作的管理和监督。
Objective To understand the quality of disinfection and sterilization in different levels of medical institutions in Taigu County and provide basis for doing a good job of infection control in medical institutions. Methods On-site sampling and testing methods were used to test the quality of disinfection and sterilization in medical institutions. Results The passing rate of indoor air from 2007 to 2009 was 65.35% -71.25%, the passing rate of objects on the surface was 55.07% -58.96%, the pass rate of medical staff was 68.47% -78.92%, the passing rate of disinfectants was 96.18% -98.24 %; UV lamp pass rate of 91.67% ~ 94.39%; pressure steam sterilizer sterilization pass rate of 100%. Among the medical institutions of different levels, the number of county-level medical institutions was 86.14% -91.95%; that of community health centers was 89.19% -90.24%; that of township hospitals was 82.79% -84.71%; that of individual clinics was 76.16% -88.38%; that of village clinics was 66.42% ~ 79.20%. Conclusion The disinfection effect of Taigu County medical institutions is generally good, but the disinfection quality of individual clinics and village clinics is poor, mainly due to the weak awareness of disinfection in medical clinics in rural areas and the inadequate disinfection facilities. Management and supervision of disinfection should be strengthened.