广西柳州市2011年医疗机构消毒效果现况调查  

A cross-sectional survey on sterilization quality for medical and health structures in Liuzhou City of Guangxi, 2011

作　　者：钟柳青[1] 陈蔚恩[1] 罗静[1] 谢丽[1] 林毅[1] 陈斓[1] 

机构地区：[1]柳州市疾病预防控制中心

出　　处：《现代预防医学》2013年第15期2811-2813,共3页Modern Preventive Medicine

摘　　要：目的了解2011年柳州市医疗机构消毒工作现状,为预防和控制医源性感染提供依据。方法采用现况调查方法,对柳州市区二级以下主要医疗机构采集灭菌物品、使用中消毒剂、物体表面、医务人员手表面和无菌保存液等反映消毒效果的相关标本,送实验室检测,根据检测结果进行分类统计分析和评价。结果共采集61所医院的380份标本,合格365份,总合格率96.05%;不同类别样品中,无菌保存液的合格率最高(100%),灭菌物品合格率最低,仅为90.38%;不同类别医疗机构样品合格率比较差异无统计学意义(P=0.488);不同科室检测样品中,普通门诊合格率最低(83.33%),其次是口腔科和供应室。不合格的15份样品中,灭菌物品占10份,占不合格样品总数的66.7%;不合格项目主要是灭菌物品的霉菌和需-厌氧菌,分别占40.00%和26.67%,手和物体表面的细菌总数占33.33%。口腔科不合格样品占不合格样品总数的46.67%,其次是手术室占26.67%。私立医疗机构(含私立美容诊所和私立医院)不合格样品数占了46.67%。结论柳州市二级以下医疗机构2011年总体消毒效果监测合格率较高,但灭菌物品合格率较低,各医院的口腔科及私立医疗机构的合格率较低,应加强对这些方面消毒工作的监测和监督管理。OBJECTIVE To know about the sterilization effect in medical and health structures of Liuzhou City in 2011. METHODS A cross-sectional study method was used to study the sterilization effect. The specimens were collected in 61 medical and health structures that below second-class, including sterilizing medical instruments, the disinfectants in use, surface of objects, sterile instrument fluids, and surface of medical staff hands, will be sent to test in laboratory of Liuzhou CDC. The data of the tests were analyzed and evaluated. RESULTS A total of 380 specimens was collected, 365 specimens were qualified with a proportion of 96.05% ; The sterile instrument fluids had the highest qualified rate which was 100% during different specimens, and the sterilizing medical instruments had the lowest qualified which was only 90.38% , the different qualified rates of specimens in different level medical and health structures had no significant （P=0.488）. The ordinary outpatient showed the lowest qualified rate which was 83.33% . There were 10 specimens of sterilizing medical instruments during 15 specimens that unqualified, accounting for 66.7%. The main unqualified items were mold and aerobic and anaerobic bacteria, which had a unqualified rate of 40.00% and 26.67% respectively. The department of stomatology had the highest unqualified rate during 15 unqualified specimens in all wards of the hospitals, reaching 46.67%; Private medical and health structures had the highest unqualified rate during 15 unqualified specimens in all levels of the hospitals , accounting for 46.67%. CONCLUSION The qualified rate of the over all sterilization monitoring effect is higher in medical and health structures that below second-class in Liuzhou, but the status of sterilizing medical instruments is relatively poor, the department of stomatology in all level hospitals and private medical and health structures have the highest unqualified rate. Management and monitoring for these respects should be strengthened.

关 键 词：消毒效果 医疗机构 现况调查 

分 类 号：R187[医药卫生—流行病学]