2012～2016年大连市西岗区医疗机构消毒灭菌监测效果分析  

Analysis on the effect of disinfection and sterilization in medical institutions in Xigang District of Dalian City during 2012-2016

作　　者：马云强[1] 战杨[1] MA Yun-qiang ZHAN Yang(Xigang District Center for Disease Control and Prevention of Dalian City in Liaoning Province,Dalian 116011,China)

机构地区：[1]大连市西岗区疾病预防控制中心检验科,辽宁大连116011

出　　处：《中国当代医药》2017年第6期156-158,共3页China Modern Medicine

摘　　要：目的了解西岗区各级医疗机构消毒灭菌效果的情况,为持续改进与提高医疗机构消毒质量,以预防和控制院内感染。方法对西岗区不同级别医疗机构2012年1月~2016年4月消毒监测结果进行统计学分析。结果 2012年1月~2016年4月共监测样品数量为1638份,合格率为94.6%。2012、2013、2014、2015、2016年合格率分别为91.5%、98.8%、99.5%、95.7%、91.3%(P<0.05)。医护人员手、空气、物体表面、压力灭菌器、无菌包检测、污水、消毒剂和消毒内镜合格率分别为89.9%、94.9%、99.3%、96.0%、93.2%、88.6%、100.0%、100.0%,其中医护人员手、空气、无菌包检测和污水各年度合格率比较,差异有统计学意义(P<0.05),物体表面、压力灭菌器、消毒剂和消毒内镜各年度合格率比较,差异无统计学意义(P>0.05)。不同级别医疗机构中以三级医院检测合格率最高为92.3%,口腔机构检测合格率最低31.2%,其余监测单位检测合格率由高到低依次分别为一级医院、二级医院、其他为医疗单位(除口腔机构)。不同级别监测单位检测合格率比较,差异有统计学意义(χ2=29.934,P<0.05)。结论西岗区内各级医疗机构消毒和灭菌效果良好,但仍存在潜在院内感染危险,应进一步加强消毒监测工作,特别是在医护人员手和污水方面。Objective To understand the disinfection and sterilization effect of monitoring medical institutions at all levels in Xigang district,so as to improve the quality of medical institutions,prevent and control nosocomial infection. Methods Statistical methods was used to analyze the data of monitoring results of medical institutions at different levels in Xigang district from January 2012 to April 2016.Results From January 2012 to April 2016,a total of 1638 samples were dectected,the total qualified rate of all samples was 94.6%.Qualified rate of 2012,2013,2014,2015,2016 was 91.5%,98.8%,99.5%,95.7%,91.3% respectively （P〈0.05）.Qualified rates of medical staff hands,air,object surface,pressure sterilizer,sterile packet detection,sewage,disinfectants and disinfection of endoscope was 89.9%,94.9%,99.3%,96.0%, 93.2%,88.6%,100.0%,100.0%,the difference in qualified rate of the medical staff hands,air, sterile packet detection and sewage each year was statistically significant （P〈0.05）,qualified rate of object surface,pressure sterilizer,disinfectants and disinfection of endoscopes in each year was compared,the difference was not statistically significant （P〉0.05）.Qualified rate in three hospitals at different levels of medical institutions was up to 92.3%,the lowest qualified rate of 31.2% in dental institutions,the monitoring unit qualified rate from high to low was respectively first-level hospital,second-class hospital and other medical units （except dental medical institution）,the difference in qualified rate at different levels of monitoring unit detection was statistically significant （χ^2=29.934, P〈0.05）.Conelusion Disinfection and sterilization effect of medical institutions at all levels is good,but there are still potential danger of nosocomial infection,disinfection monitoring should be further strengthened,especially to the monitor of hand hygiene and sewage.

关 键 词：医疗机构 消毒 监测 

分 类 号：R187[医药卫生—流行病学]