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目的 分析评价宿州市医疗机构消毒工作质量及存在问题。方法 按照卫生部《消毒技术规范》等规定方法进行了细菌污染与紫外线灯辐照度调查。结果 全市医疗机构消毒总合格率在 71.3%～ 93.1%之间 ,平均 84 .9% ,呈逐年提高 ,差异有高度显著性 (χ2 =4 78.1,P <0 .0 1)。县及县以上、乡镇、村及个体医疗机构消毒合格率分别为 90 .1、75 .7%、84 .9% ,差异有高度显著性 ((χ2 =4 98.5 ,P <0 .0 1)。不同项目的合格率高低依次为压力蒸汽灭菌器 97.1%、无菌器械保存液 90 .4 %、紫外线灯 88.9%、使用中的消毒液 87.8%、医疗用品 83.4 %、物体表面与医护人员手 80 .6 %、空气 72 .6 %。以空气合格率为最低 ,样本间的消毒合格率差异有高度显著性 (χ2 =2 90 .1,P <0 .0 1)。结论 消毒灭菌工作是基层医院感染管理中的一个薄弱环节 ,存在很多问题 ,需采取切实可行措施加强管理 ,全面提高医疗单位消毒灭菌质量。
Objective To analyze and evaluate the quality and problems of disinfection in medical institutions in Suzhou City. Methods In accordance with the “disinfection technical specifications” and other provisions of the Ministry of Health, bacteria contamination and UV lamp irradiance were investigated. Results The total qualified rate of disinfection of medical institutions in the city was between 71.3% and 93.1% with an average of 84.9%, showing a year-by-year increase. The difference was highly significant (χ2 = 4 78.1, P <0.01). The passing rates of disinfection of medical institutions at county level and above, townships, villages and individual medical institutions were respectively 90.1,75.7% and 84.9%, the difference was highly significant (χ2 = 4 98.5, P <0.01) The qualified rate of different items were as follows: 97.1% of pressure steam sterilizer, 90.4% of sterile equipment preservation solution, 88.9% of UV lamp, 87.8% of disinfectant used, 83.4% of medical supplies, surface of objects and medical staff 80.6% of the hands and 72.6% of the air, with the lowest passing rate of air, there was a highly significant difference in passing rate between samples (χ2 = 2 90.1, P0.01) .Conclusion Disinfection and sterilization Work is a weak link in the management of grass-roots hospital infection. There are many problems that need to be solved. Practical measures should be taken to strengthen management so as to improve the quality of disinfection and sterilization of medical units in an all-round way.