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目的了解湖南省人民医院的消毒质量,探讨影响消毒效果的因素,预防与控制医院感染的发生。方法依据卫生部《消毒技术规范》(2002版)方法对该院手术室、产房、供应室、重症监护室、口腔科、烧伤病房等重点部位的室内空气、灭菌物品、医疗器械(内窥镜、口腔科器械等)、环境物体表面、使用中的消毒液、医护人员手的细菌菌落数和压力蒸汽灭菌器的灭菌效果以及紫外线强度等进行监测。结果 2007-2009年共监测样本9 791份,合格数9 479份,合格率96.81%,各项消毒效果指标平均合格率均超过90%,消毒效果监测合格率逐年上升。结论只有重视消毒灭菌工作,加强对医护人员全员培训,严格落实各项消毒管理制度,执行消毒操作规范,方能提高消毒质量,预防与控制医院感染。
Objective To understand the quality of disinfection in Hunan Provincial People’s Hospital, discuss the factors affecting the disinfection effect, and prevent and control the occurrence of nosocomial infections. Methods According to the “Disinfection Technical Specification” (2002 edition) of the Ministry of Health, the indoor air, sterilized articles, medical devices (endoscopes) of the operating room, delivery room, supply room, intensive care unit, Mirrors, dental instruments, etc.), the surface of environmental objects, the disinfectant in use, the number of bacterial colonies by medical staff and the sterilizing effect of the pressure steam sterilizer and the intensity of ultraviolet rays. Results A total of 9 791 samples were tested during 2007-2009, with 9 479 qualified samples, with a passing rate of 96.81%. The average passing rate of each disinfection index exceeded 90%. The passing rate of disinfection monitoring increased year by year. Conclusions Only by focusing on the work of disinfection and sterilization, we should strengthen the training of all medical and nursing staffs, strictly implement various disinfection management systems and enforce disinfection practices so as to improve the quality of disinfection and prevent and control nosocomial infections.