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目的了解三元区医疗机构消毒与灭菌效果,进一步提高感染控制和消毒管理质量。方法对辖区51家医疗机构现场采样进行微生物学检测,并对结果进行分析。结果2012—2015年共监测样品801份,合格率76.3%,4年合格率分别为78.5%、71.3%、71.9%和81.3%,消毒灭菌质量未见增高趋势。项目检测合格率最高为使用中消毒剂(98.3%),其他合格率依次为医疗器材(96.9%)、操作台面(94.5%)、医务人员手(85.1%),合格率最低为空气中菌落总数(26.0%);机构检测合格率最高为社区卫生服务中心81.8%,口腔诊所79.5%,最低为私立诊所70.1%。结论三元区医疗机构消毒合格率较低,尤其是空气中菌落总数合格率低。必须加强消毒质量管理,提高消毒质量。
Objective To understand the disinfection and sterilization effects of medical institutions in Sanyuan District so as to further improve the quality of infection control and disinfection management. Methods 51 medical institutions in the area of field sampling for microbiological testing, and the results were analyzed. Results A total of 801 samples were monitored during 2012-2015, with a pass rate of 76.3%. The four-year pass rates were 78.5%, 71.3%, 71.9% and 81.3%, respectively. There was no increase in the quality of disinfection and sterilization. The highest passing rate of the project was the disinfectant in use (98.3%). The other pass rates were medical equipment (96.9%), operation table (94.5%) and medical staff (85.1%) with the lowest pass rate (26.0%). The highest pass rate of institutional testing was 81.8% of community health service centers, 79.5% of dental clinics and the lowest was 70.1% of private clinics. Conclusion Sanyuan District medical institutions disinfection pass rate is low, especially in the air the total number of colonies pass rate is low. Must strengthen the disinfection quality control, improve the quality of disinfection.