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目的分析嵊州市中医院院内感染管理及消毒灭菌工作情况,探寻存在的问题,提出应对策略。方法回顾性分析嵊州市中医院2010年12月-2012年12月接受治疗的2 150例患者的临床资料,统计医院感染发生状况。每月对医院各部门消毒灭菌的效果进行监测。结果 2 150例患者中发生医院感染的患者有89例,感染发生率为4.14%,感染部位分布前三位的分别为呼吸道感染、术后切口感染和胃肠道感染,发生率分别为2.09%、0.60%和0.56%;两年抽取样品867份,监测合格737份,合格率为85.01%。合格率较低为室内空气,外来器械,医护人员的手等。结论目前嵊州市中医院院内感染发生率还较高,某些方面消毒灭菌效果还不够理想,在完善医院感染管理制度,加强患者管理,严格无菌操作技术的同时,还应规范消毒灭菌技术,并加强监测,以做好医院感染的预防控制工作。
Objective To analyze the hospital infection management and disinfection and sterilization in Shengzhou Hospital of Traditional Chinese Medicine, explore the existing problems and put forward the countermeasures. Methods The clinical data of 2 150 cases treated in Shengzhou Hospital of Traditional Chinese Medicine from December 2010 to December 2012 were retrospectively analyzed. The incidence of nosocomial infections was calculated. Monthly hospital disinfection and sterilization of various departments to monitor the effect. Results There were 89 out of 2 150 patients with nosocomial infection, the infection rate was 4.14%. The top three spots were respiratory tract infection, incision infection and gastrointestinal tract infection respectively, the rates were 2.09% , 0.60% and 0.56%, respectively. In the two years, 867 samples were taken and 737 were qualified for monitoring. The pass rate was 85.01%. Low pass rate for indoor air, foreign instruments, medical staff’s hand. Conclusion At present, the incidence of nosocomial infections in Shengzhou Traditional Chinese Medicine Hospital is still relatively high. In some aspects, the disinfection and sterilization effects are still unsatisfactory. In addition to improving the hospital infection management system, strengthening patient management and strict aseptic technique, disinfection and sterilization Technology, and strengthen monitoring to prevent and control nosocomial infections.