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目的了解平远县县城区托幼机构卫生质量状况,为制定托幼机构传染病防控措施提供依据。方法采用现场调查和采样检测方法,对平远县县城区9所托幼机构进行卫生质量监测,监测项目包括托幼机构的室内空气、物体表面、餐饮具表面、进食前教师及幼儿手、使用中的消毒液、饮用水。结果 2003—2012年共采集样本4 500份,合格4 146份,总合格率为92.13%,不同监测项目的合格率由高至低依次为使用中消毒液99.11%(446/450)、教师及幼儿手96.80%(1 481/1 530)、物体表面92.53%(1 499/1 620)、饮用水87.78%(79/90)、餐饮具表面80.56%(435/540)、室内空气76.30%(206/270)。春季监测总合格率为88.97%(2 001/2 249),秋季监测总合格率为95.29%(2 145/2 251),秋季监测的合格率高于春季(P<0.01)。结论平远县县城区托幼机构整体卫生质量较好,但室内空气和餐饮具的合格率偏低,今后需建立更加有效的消毒管理制度,提高室内空气和餐饮具的卫生质量。
Objective To understand the health status of nurseries and kindergartens in Pingyuan county and county, and provide evidence for the prevention and control of infectious diseases in nurseries. Methods The methods of on-site investigation and sampling were used to monitor the health quality of 9 nurseries in Pingyuan County. The monitoring items included indoor air, surface of objects, surfaces of tableware, teachers and children before eating, In the disinfectant, drinking water. Results A total of 4 500 samples were collected during the period from 2003 to 2012, and 4 146 were qualified. The total pass rate was 92.13%. The passing rates of different monitoring items from high to low were 99.11% (446/450) of disinfectants in use, 96.80% (1 481/1 530) of children’s hands, 92.53% (1 499/1 620) of objects, 87.78% (79/90) of drinking water, 80.56% (435/540) of tableware and 76.30% of indoor air 206/270). The total qualified rate of spring monitoring was 88.97% (2 001/2 249). The total qualified rate of autumn monitoring was 95.29% (2 145/2 251). The passing rate of autumn monitoring was higher than that of spring (P <0.01). Conclusion The overall health quality of nurseries and kindergartens in Pingyuan county is good, but the pass rate of indoor air and tableware is low. In the future, more effective disinfection management system should be established to improve the hygiene quality of indoor air and tableware.