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目的了解海拉尔区医疗机构的消毒质量现状,有的放矢的加强医疗机构的消毒管理,为防止医源性感染、提高医疗质量管理水平提供依据。方法根据《消毒技术规范》、《医院消毒卫生标准》,对海拉尔区区级医疗机构、乡(镇)卫生院与民营医院、村卫生室与个体医等医疗机构的消毒效果进行采样检测,并对检测资料进行分析。结果共监测各类医疗机构152家,检测样品540份、合格351份、总合格率为65.00%,其中区级医疗机构、乡(镇)卫生院与民营医院、村卫生室与个体医样品合格率分别为81.97%、72.46%、55.71%,差异有统计学意义(P<0.01)。各种样品的检测合格率以物体表面最高,消毒液最低,差异有统计学意义(P<0.01)。各级医疗机构不同样品中的细菌总数、金黄色葡萄球菌、溶血性链球菌的合格率分别为65.63%、98.89%、99.56%,差异有统计学意义(P<0.01)。结论应加强对小规模医疗机构的消毒质量的监测,加强医院感染管理工作,监督部门应加强监督。
Objective To understand the status quo of disinfection quality of medical institutions in Hailar district and to strengthen the disinfection management of medical institutions in a targeted manner to provide the basis for preventing iatrogenic infection and improving the quality of medical treatment. Methods According to “Disinfection Technical Standard” and “Sanitary Standard of Hospital Disinfection”, the disinfection effects of Hailar district-level medical institutions, township (town) hospitals and private hospitals, village clinics and individual medical institutions were sampled and tested. Test data for analysis. Results A total of 152 medical institutions of various kinds were monitored, 540 samples were tested and 351 were qualified, with a total pass rate of 65.00%. Among them, district-level medical institutions, township (town) hospitals, private hospitals, village clinics and individual medical samples were qualified The rates were 81.97%, 72.46% and 55.71%, respectively, with significant difference (P <0.01). Various samples of the test pass rate to the highest surface, the lowest disinfectant, the difference was statistically significant (P <0.01). The total number of bacteria, Staphylococcus aureus and hemolytic streptococcus in different samples of medical institutions at different levels were 65.63%, 98.89% and 99.56%, respectively, with significant difference (P <0.01). Conclusion The monitoring of disinfection quality in small-scale medical institutions should be strengthened and the management of hospital infection should be strengthened. Supervision departments should strengthen supervision.