论文部分内容阅读
目的探讨口腔诊室环境对消毒效果的影响因素,找出危险因素,提出控制措施。方法以整体抽样的方法,采集广州市82家医院口腔科和口腔诊所消毒检测结果,主要包括空气消毒后取样监测、物体表面消毒后取样监测、无菌消毒液污染取样监测三项指标,探讨口腔诊室环境与消毒效果之间的关系,然后用Logistic回归分析方法对影响消毒效果的危险因素进行分析。结果影响空气消毒效果监测结果的危险因素:医疗用房面积(P<0.05),有无污染区、清洁区、休息区的划分(P<0.01),有无用含氯消毒液拖地、擦桌面(P<0.01),消毒液的浓度是否标准(P<0.05);影响物体表面消毒效果监测结果的危险因素:有无用含氯消毒液拖地、擦桌面(P<0.01),消毒液更换时间是否正确(P<0.01);影响无菌消毒液污染监测结果的危险因素:消毒液的浓度是否标准(P<0.001),消毒液更换时间是否正确(P<0.05)。结论诊疗用房面积大小、诊疗设备多寡、消毒方式及医院或口腔诊所是否有严格的消毒管理制度直接影响口腔科消毒效果。
Objective To investigate the factors influencing the disinfection effect of oral clinic environment, find out the risk factors and put forward the control measures. Methods The overall sampling method was used to collect the results of disinfection in stomatology and dental clinic of 82 hospitals in Guangzhou, including sampling after air disinfection, sampling after disinfection on the surface of the object, sampling and monitoring of the contamination by sterile disinfectant solution, Clinic environment and the effect of disinfection, and then use Logistic regression analysis to analyze the risk factors affecting the disinfection effect. Results The risk factors influencing the air disinfection monitoring results were as follows: the area of medical treatment room (P <0.05), the area without pollution, clean area and resting area (P <0.01) (P <0.01), and whether the concentration of disinfectant was standard (P <0.05). The risk factors influencing the results of disinfection monitoring on the surface of the objects were: (P <0.01). The risk factors influencing the monitoring results of sterile disinfectant pollution were whether the concentration of disinfectant was standard (P <0.001) and the disinfectant replacement time was correct (P <0.05). Conclusion The size of clinics, the amount of medical equipment, disinfection methods and hospital or dental clinics have a strict disinfection management system has a direct impact on the effectiveness of oral disinfection.