全国医疗机构病区环境消毒现况调查与分析  

Current situation of environmental disinfection in medical institutions in China

作　　者：姚希[1] 巩玉秀 张宇 周嘉祥 叶青[3] 陆群[4] 杨怀[5] 李卫光[6] 杨芸[7] 林玲[8] 张浩军[9] 张冰丽 李六亿[1] YAO Xi;GONG Yu-xiu;ZHANG Yu;ZHOU Jia-xiang;YE Qing;LU Qun;YANG Huai;LI Wei-guang;YANG Yun;LIN Ling;ZHANG Hao-jun;ZHANG Bing-li;LI Liu-yi(Department of Healthcare -associated Infection Management and Disease Prevention and Control, Peking University First Hospital, Beijing 100034, China;Natio-nal Health Institute of Hospital Administration, National Health Commission of the People’s Republic of China, Beijing 100044, China;Office of HAI Prevention and Control, Renmin Hospital of Wuhan University, Wuhan 430060, China;Department of HAI Management, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310052, China;Department of HAI Management, Guizhou Provincial People’s Hospital, Guiyang 550002, China;Office of HAI Management, Shandong Provincial Hospital, Jinan 250021, China;Office of HAI Management, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan 030032, China;Center of HAI Prevention and Control, Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150000, China;Department of HAI Management, Gansu Provincial Hospital, Lanzhou 730000, China)

机构地区：[1]北京大学第一医院感染管理疾病预防控制处,北京100034 [2]国家卫生计生委医院管理研究所,北京100044 [3]武汉大学人民医院医院感染预防与控制办公室,湖北武汉430060 [4]浙江大学医学院附属第二医院感染管理科,浙江杭州310052 [5]贵州省人民医院医院感染管理科,贵州贵阳550002 [6]山东省立医院感染办,山东济南250021 [7]山西医学科学院山西白求恩医院医院感染管理办公室,山西太原030032 [8]黑龙江省疾病预防控制中心医院感染预防与控制中心,黑龙江哈尔滨150000 [9]甘肃省人民医院医院感染管理处,甘肃兰州730000

出　　处：《中国感染控制杂志》2020年第6期553-558,共6页Chinese Journal of Infection Control

摘　　要：目的了解本国医疗机构环境消毒的实施情况,为《医疗机构消毒技术规范》WS/T 367—2012的贯彻落实与修订提供科学依据。方法采取多阶段分层抽样的方法,抽取全国6个省份共168所医疗机构,由其医疗机构感染管理专职人员调查填写,并网络上报其普通病区和重点部门空气与物体表面消毒方式、频次及消毒效果监测情况。结果共163所医疗机构参与调查,其中2所医疗机构未开设普通病区。75所(46.58%)医疗机构对普通病区进行空气消毒,其中42所(56.00%)医疗机构采用紫外线灯照射进行消毒,31所(41.33%)医疗机构只在终末或必要时消毒;98所(60.87%)医疗机构对普通病区物体表面定期进行消毒,其中94所(95.92%)医疗机构每天消毒1~2次;73所(45.34%)医疗机构对普通病区进行环境消毒效果监测,其中47所(64.38%)医疗机构每季度至少监测1次。141所(86.50%)医疗机构对重点部门空气进行消毒,其中122所(86.52%)每天消毒2次;163所(100%)医疗机构均对重点部门物体表面进行消毒,其中134所(82.21%)每天消毒≥2次;161所(98.77%)医疗机构定期对重点部门进行环境消毒效果监测,其中111所(68.94%)医疗机构为每季度监测1次。结论《医疗机构消毒技术规范》WS/T 367—2012的颁布促进了各级医疗机构环境清洁与消毒工作,但医疗机构对普通病区存在消毒与监测过度与不足并存的现象,需进一步改进。Objective To understand the implementation of environmental disinfection in medical institutions(MIs)in China,provide scientific basis for the implementation and revision of Regulation of disinfection technique in healthcare settings(WS/T 367-2012).Methods By multi-stage stratified sampling method,168 MIs in 6 pro-vinces were selected,monitoring results of disinfection mode,frequency and efficacy of air and object surface in general wards and high risk departments were surveyed,filled and reported on internet by full-time staff of infection management in MIs.Results A total of 163 MIs participated in the survey,2 of which didn’t open general wards.75(46.58%)MIs disinfected air in general wards,42(56.00%)disinfected with ultraviolet light,31(41.33%)only performed terminal disinfection or disinfected when necessary,98(60.87%)regularly disinfected object surface in general wards,94(95.92%)disinfected once or twice a day;73(45.34%)MIs monitored the effect of environmental disinfection in general wards,47(64.38%)of which monitored at least once per quarter.141(86.50%)MIs disinfected air in high risk departments,122(86.52%)of which disinfected twice a day;163(100%)MIs disinfected object surface of high risk departments,134(82.21%)of which disinfected at least twice a day;161(98.77%)MIs regularly monitored the effect of environmental disinfection in high risk departments,111(68.94%)of which monitored once a quarter.Conclusion The issuing of Regulation of disinfection technique in healthcare settings(WS/T 367-2012)has promoted the environmental cleaning and disinfection in all levels of MIs,but the phenomenon of excessive and insufficient disinfection and monitoring of general wards exists in MIs,which needs further improvement.

关 键 词：医疗机构 消毒技术规范 清洁 消毒 普通病区 感染 高风险部门 

分 类 号：R197.323[医药卫生—卫生事业管理]