热带病与寄生虫学 ›› 2022, Vol. 20 ›› Issue (2): 96-98.

• 临床研究 • 上一篇    下一篇

2017—2020年铜陵市医疗机构消毒质量监测分析

汪道发,王圆圆,方遒,盛维立,张义华   

  1. 铜陵市疾病预防控制中心,安徽铜陵244000
  • 收稿日期:2021-12-10 出版日期:2022-04-20 发布日期:2022-04-29
  • 作者简介:汪道发,男,大专,主管检验师,研究方向:微生物检验。E-mail:tlcdcwdf@126.com

Surveillance on disinfection and sterilization quality in medical institutions in Tongling City from 2017 to 2020

WANG Dao-fa, WANG Yuan-yuan, FANG Qiu, SHENG Wei-li, ZHANG Yi-hua   

  1. Tongling Municipal Center for Disease Control and Prevention, Tongling 244000, Anhui Province , China
  • Received:2021-12-10 Online:2022-04-20 Published:2022-04-29

摘要: 目的 了解铜陵市医疗机构消毒质量的基本情况,为医院消毒的质量控制和院内感染的预防提供数据支持。方法 根据《医院消毒卫生标准》(GB 15982—2012)和《消毒技术规范》(2002年版),对铜陵地区不同医疗机构不同项目进行现场采样、检测。结果 2017—2020年样品的合格率分别为99.09%、99.18%、98.83%和98.63%,总合格率是99.04%,各年度的样品合格率差异无统计学意义(χ2=0.257,P>0.05)。三级、二级、一级医院及诊所的样品合格率分别是98.54%、99.16%、98.90%、和99.18%,不同级别医疗机构间样品的合格率差异无统计学意义(χ2=0.291,P>0.05)。在手的消毒效果专项比较中,2017年一级医疗机构的合格率最低(83.33%);2018、2019年三级医疗机构的合格率最低,分别为90.91%和88.89%。不合格项目集中在空气及医务人员手2个监测项目。结论 铜陵市2017—2020年医疗机构消毒质量保持在较好水平,但医疗机构应加强医护人员对手卫生及空气消毒质量的监测。主管部门应进行不定期检查,发现潜在风险并督促解决,进一步提升医院消毒质量。

关键词: 医疗机构, 消毒效果, 监测

Abstract: Objective To understand the basic situation of disinfection quality in medical institutions within Tongling City for data support for the quality control of nosocomial infection and prevention of nosocomial infection events. Methods By the Hygienic Standard for Hospital Disinfection (GB 15982—2012) and Disinfection Technical Standard (2002 edition), different items were sampled on-site in different medical institutions Tongling area, and tested for the disinfection quality. Results The qualified rates of all samples collected between 2017 and 2020 were 99.09%, 99.18%, 98.83% and 98.63%, respectively, and the overall qualified rate was 99.04%. The difference was insignificant in between the four years (χ2=0.257, P>0.05). The qualified rates for the samples obtained from tertiary, secondary, primary and clinical medical institutions were 98.54%, 99.16%, 98.90% and 99.18%, respectively. There was no difference in the qualified rate of samples from different levels of medical institutions (χ2=0.291, P>0.05). In special comparison of hand disinfection effect, the pass rate (83.33%) was the lowest in primary medical institutions in 2017, and the lowest in tertiary medical institutions in 2018 and 2019, which was 90.91% and 88.89%, respectively. The unqualified items were associated with disinfection of the air and medical staff's hands. Conclusion The disinfection quality was maintained at better level in medical institutions in Tongling City from 2017 to 2020. Our findings suggest that medical institutions should strengthen surveillance over the quality of medical staff's hand hygiene and air disinfection, and competent departments should carry out irregular and random inspections to discover and solve potential problems in order to further improve the quality of hospital disinfection.

Key words: Medical institutions, Disinfection effect, Monitoring

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