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目的了解威海市基层医疗机构消毒与灭菌的工作质量与现状,提出加强基层医疗机构消毒质量管理的措施。方法采用现场采样和实验室检测的方法,对威海市基层医疗机构的消毒质量进行监测与评价。结果 2010~2014年共采集不同种类样本3 058份,合格2 636份,合格率为86.20%。年度合格率分别为86.85%(593/515)、84.78%(578/690)、82.62%(504/610)、94.82%(549/579)、87.05%(578/664)。物体表面合格率为95.57%(1 555/1 627),室内空气合格率为72.01%(265/368),消毒液合格率为98.78%(162/164),医护人员手合格率为75.50%(151/200),压力蒸汽灭菌器合格率为100.00%(83/83),紫外线灯合格率为68.18%(420/616)(P<0.01)。经卡方趋势性检验发现,物体表面合格率呈逐年下降趋势;紫外线灯合格率呈逐年上升趋势。结论威海市基层医疗机构的消毒与灭菌质量整体较好,应当对室内空气、医护人员的手卫生和紫外线灯加强质量管理。
Objective To understand the quality and current status of disinfection and sterilization in primary medical institutions in Weihai and put forward some measures to strengthen the quality control of disinfection in primary medical institutions. Methods The methods of on-site sampling and laboratory testing were used to monitor and evaluate the disinfection quality of primary medical institutions in Weihai. Results A total of 3 058 samples of different types were collected from 2010 to 2014, which qualified 2 636 samples with a pass rate of 86.20%. The annual pass rates were 86.85% (593/515), 84.78% (578/690), 82.62% (504/610), 94.82% (549/579) and 87.05% (578/664), respectively. 95.57% (1 555/1 627), 72.01% (265/368) indoor air, 98.78% (162/164) disinfectant and 75.50% medical staff 151/200). The pass rate of steam sterilizer was 100.00% (83/83) and the pass rate of UV lamp was 68.18% (420/616) (P <0.01). The chi-square test showed that the passing rate of the surface of the object showed a declining trend year by year. The passing rate of the UV lamp showed a year-by-year upward trend. Conclusion The quality of disinfection and sterilization of primary health care institutions in Weihai is generally good, and quality management of indoor air, hand hygiene and ultraviolet lamps for medical staff should be strengthened.