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目的了解钦州市钦南区各级医疗机构消毒工作状况,为提高医疗机构消毒质量提供科学依据。方法对2012年-2013年辖区内69家医疗机构消毒灭菌效果与环境卫生学进行监测。结果两年监测共采样723份,合格647份,合格率89.49%。其中2012年合格率91.11%,2013年合格率87.88%,两者的差异无统计学意义(P>0.05);县级合格率97%、乡镇合格率90.43%,个体合格率79.99%,三者合格率差异有统计学意义(P<0.01)。医护人员手合格率93.75%、使用中消毒液合格率98.33%、物体表面合格率92.59%、一次性医疗卫生用品合格率86.36%、压力蒸汽灭菌合格率75.12%,五者合格率差异有统计学意义(P<0.01)。结论县级医院消毒灭菌效果比乡镇和个体医疗机构好;三级医疗机构消毒工作有待加强。
Objective To understand the disinfection work of medical institutions at all levels in Qinnan District of Qinzhou City and provide scientific basis for improving the disinfection quality of medical institutions. Methods The disinfection and sterilization effects and environmental hygiene of 69 medical institutions in the area from 2012 to 2013 were monitored. Results Two-year monitoring a total of 723 samples, 647 qualified, the passing rate of 89.49%. Among them, the passing rate in 2012 was 91.11%, and the passing rate in 2013 was 87.88%. There was no significant difference between the two (P> 0.05). The passing rate at county level was 97%, the passing rate at township was 90.43%, and the individual passing rate was 79.99% The difference in pass rate was statistically significant (P <0.01). The pass rate of medical staff was 93.75%, the pass rate of disinfectant in use was 98.33%, the pass rate of object surface was 92.59%, the pass rate of disposable medical and sanitary products was 86.36% and the rate of pressure steam sterilization was 75.12% Significance (P <0.01). Conclusion The disinfection and sterilization of county-level hospitals is better than that of villages and towns and individual medical institutions. The disinfection of tertiary medical institutions needs to be strengthened.