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目的了解株洲县医疗机构消毒工作质量,加强消毒监测管理,为防止医源性感染、提高医疗质量管理水平提供科学依据。方法按照卫生部《消毒技术规范》和《医院消毒卫生标准》,2006-2008年对全县医疗卫生机构的消毒效果进行现场采样监测。结果共监测各类医疗机构335家,检测样品2 031份,合格1 123份,总合格率55.3%。2006-2008年全县各年度消毒检测合格率分别为48.2%、59.9%、59.2%,呈上升趋势(P<0.01)。县级医院、乡镇卫生院、村卫生室、个体诊所均有统计学意义(P<0.01)。各检测项目检测结果显示:一次性医疗用品类合格率最高,为100%;医疗用房空气合格率最低,为19.0%。结论2006-2008年株洲县各医疗机构消毒质量有待提高,村卫生室和个体诊所消毒状况更是不容乐观,应加强监督与管理。
Objective To understand the quality of disinfection work in medical institutions in Zhuzhou County and to strengthen the disinfection monitoring and management so as to provide a scientific basis for preventing iatrogenic infection and improving the quality of medical treatment. Methods According to the “Technical Specifications of Disinfection” and “Sanitary Standards of Hospital Disinfection” of the Ministry of Health, on-site sampling and monitoring of the disinfection effects of medical and health institutions in the county from 2006 to 2008 were conducted. Results A total of 335 medical institutions of various kinds were monitored, 2 031 samples were tested, 1 123 were qualified and the total pass rate was 55.3%. 2006-2008 annual county disinfection test pass rates were 48.2%, 59.9%, 59.2%, an upward trend (P <0.01). County hospitals, township hospitals, village clinics and individual clinics have statistical significance (P <0.01). The test results of the testing items showed that the qualified rate of disposable medical products was the highest, which was 100%, and the lowest passing rate of medical air was 19.0%. Conclusion The quality of disinfection of various medical institutions in Zhuzhou County needs to be improved in 2006-2008. The disinfection status of village clinics and individual clinics is even more unsightly. Supervision and management should be strengthened.