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[目的]全面了解各级医疗卫生机构的消毒质量与感染危险因素,促进消毒质量的提高。[方法]对2008～2010年天津市河北区各级医疗机构消毒监测资料进行分析。[结果]2008～2010年累计检测各类样品1 436份,平均合格率为90.46%。检测合格率,2008年为84.44%,2009年为94.13%,2010年为92.40%(P<0.01)。3年平均合格率,三级医院为91.08%,二级医院为93.67%,一级医院为86.44%(P<0.01);紫外线灯辐射照度为92.60%,压力灭菌器灭菌效果为100.00%,使用中消毒剂为100.00%,医护人员手为88.04%,手术室空气细菌菌落总数为81.48%。[结论]河北区医疗卫生机构消毒质量较高,一级医院合格率有待进一步提高。
[Objective] To comprehensively understand the disinfection quality and infection risk factors of medical and health institutions at all levels and promote the improvement of disinfection quality. [Method] The data of disinfection monitoring of medical institutions at all levels in Hebei District from 2008 to 2010 were analyzed. [Result] A total of 1 436 samples of all kinds were tested from 2008 to 2010, with an average pass rate of 90.46%. The test pass rate was 84.48% in 2008, 94.13% in 2009 and 92.40% in 2010 (P <0.01). The average passing rate of three years was 91.08% in the third grade hospital, 93.67% in the second grade hospital and 86.44% in the first grade hospital (P <0.01). The irradiance of the UV lamp was 92.60% and the sterilization effect of the pressure sterilizer was 100.00% 100.00% of the disinfectants used, 88.04% of the hands of medical staff, and the total number of bacterial colonies of air in the operating room was 81.48%. [Conclusion] The disinfection quality of health care institutions in Hebei Province is relatively high, and the qualified rate of primary hospitals needs to be further improved.