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重庆市九龙坡区2005-2007年医院消毒效果分析

Analysis of the Disinfection Results Obtained from Hospitals in Jiulongpo District,Chongqing(2005-2007)
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摘要 目的了解医院消毒质量变化,分析评价消毒效果。方法每年对医疗机构进行1~2次采样检测,按照卫生部《医院消毒卫生标准》和《消毒与灭菌效果的评价方法与标准》判定样品是否合格,计算合格率,以卫生统计学方法分析消毒质量变化。结果共监测9所医院,检测样品3099份,合格率为82.1%,其中2006年(86.1%)和2007年(85.7%)显著高于2005年(67.3%)。分类样品中,合格率最高为医疗器械,为95.4%;其次是物体表面,为90.3%;医务人员手次之,为78.9%;室内空气最低,为35.2%。2005-2007年,分类样品年份比较,空气合格率2007年最高为53.7%,2005、2006和2007年间相互比较,差异具有统计学意义。医务人员手合格率2006年为81.3%,高于2005年的72.4%。医疗器械合格率2005年为100%,2006-2007年呈下降趋势。结论九龙坡区消毒效果合格率虽呈逐年上升趋势,但总体合格率不高,分类合格率不平衡。消毒措施有待加强,消毒质量有待提高。 Objective To analyze the results of disinfection in hospitals of Jiulongpo district in Chongqing during 2005-2007. Methods Results of disinfection during the period of 2005 and 2007 were analyzed by sampling of these hospitals 1 to 2 times per year. Results were statistically analyzed according to the standards and regulations issued by the Ministry of Health. Results Nine hospitals were surveyed. After disinfection, 3 099 samples collected from the object surface, indoor air, hands of medical staff and medical instruments were analyzed. 2 545 samples (82.1%) were up to the standard. The percentage of samples up to the standard in 2006 (86.1%) and in 2007 (85.7%) was significantly greater than 2005 (67.3%). The percentage of samples fulling the standard was: indoor air (35.2%), medical personnel's hands (78.9%), surface of objects (90.3%) and medical instruments (95.4%) after disinfection. The qualification rates of indoor air, medical personnel's hands, surface of objects, medical instruments after disinfection in different year were statistically analysed from 2005 to 2007. The qualification percentage of indoor air (53.7%) fulling the standard was greatest in 2007 and the percentage was significantly difference from 2005. The percentage of samples from medical personnel's hands (81.3%) collected in 2006 was greater than 2005 (72.4%). All medical instruments were up to the standard in 2005 and the percentage was decreasing from 2005 to 2007. Conclusion The percentage of samples fulling the national standard was increasing, but the overall passing rate was not high. The program of disinfection should be strengthened.
作者 杨以平 谢健
出处 《热带医学杂志》 CAS 2009年第1期70-71,74,共3页 Journal of Tropical Medicine
关键词 医疗机构 消毒效果 medical institution disinfection efficacy
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