《医疗机构消毒技术规范》WS/T 367—2012实施情况调查  

Implementation of Regulation of disinfection technique in healthcare settings

作　　者：姚希[1] 巩玉秀 张宇 周嘉祥 吴敏[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;WU Min;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;Derpartment of Medical Service and Safty, National Health Institute of Hospital Admini-stration, National Health Commission of the People’s Republic of China, Beijing 100044, China;Department of HAI Management, Liaocheng People’s Hospital, Liaocheng 252000, 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 Mana-gement, 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医疗服务与安全研究部,北京100044 [3]聊城市人民医院感染管理科,山东聊城252000 [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8期728-732,共5页Chinese Journal of Infection Control

摘　　要：目的为了解《医疗机构消毒技术规范》WS/T 367—2012(简称《消规》)的落实现状,发现消毒管理工作中存在的主要问题和薄弱环节,为进一步加强医疗机构消毒管理工作提供科学依据。方法2018年11月1—20日采取多阶段分层抽样法确定调查对象,调查医院消毒工作管理制度制定及修订、消毒产品管理、消毒工作督导、消毒工作相关培训、清洗与消毒流程等情况。结果共计调查256所医疗机构,《消规》颁布后94.14%(241所)的医疗机构结合实际情况制定或修订了消毒工作管理制度;93.75%(240所)的医疗机构对使用的消毒产品相关证明进行审核、备份存档;91.41%(234所)的医疗机构定期对消毒工作进行督导,及时总结分析与反馈;93.75%(240所)的医疗机构开展了消毒工作相关培训,88.67%(227所)的医疗机构诊疗器械等常规复用流程正确。结论《消规》的颁布规范了医疗机构的消毒管理工作。医疗机构复用器械器具消毒流程已基本规范,基层医疗机构清洗消毒流程的正确率明显低于医院,是今后消毒管理工作推进的重点。Objective To understand the implementation status of Regulation of disinfection technique in healthcare settings(WS/T367)(hereinafter referred to as regulation of disinfection),find out the main problems and weak links in the disinfection management,and provide scientific basis for further strengthening the disinfection management of healthcare settings.Methods A multi-stage stratified sampling method was adopted to determine the surveyed subjects,formulation and revision of hospital disinfection management system,management of disinfection products,supervision of disinfection work,disinfection-related training,cleaning and disinfection process were investigated.Results A total of 256 healthcare settings were investigated,after the issuing of regulation of disinfection,94.14%(n=241)of healthcare settings formulated or revised disinfection management system according to the actual situation;93.75%(n=240)of healthcare settings reviewed,backuped and stored relevant certificates of disinfection products;91.41%(n=234)of healthcare settings regularly supervised the disinfection work,as well as summarized,analyzed and fed back in time;93.75%(n=240)of healthcare settings carried out disinfection-related training,and 88.67%(n=227)of healthcare settings carried out the correct routine reuse process of medical instruments.Conclusion The issuing of regulation of disinfection standardized the disinfection management of healthcare settings.Disinfection process of reusable instruments in healthcare settings has been basically standardized,correct rate of cleaning and disinfection process in primary healthcare settings is obviously lower than that in hospitals,which is the focus of disinfection management in the future.

关 键 词：医疗机构 消毒 规范 医院感染 现况 

分 类 号：R187[医药卫生—流行病学]