某妇产医院2017-2019 年环境监测结果分析  

Analysis of environmental monitoring results in a maternity hospital from 2017 to 2019

作　　者：吴思奇 孟玉翠[1] 张敬蕊 赵春超 戎惠娟[1] WU Siqi;MENG Yucui;ZHANG Jingrui;ZHAO Chunchao;RONG Huijuan(Shijiazhuang Gynecology and Obstetrics Hospital,Shijiazhuang,Hebei 050011,China)

机构地区：[1]石家庄市第四医院,河北石家庄050011

出　　处：《医药前沿》2021年第1期12-14,共3页Journal of Frontiers of Medicine

基　　金：石家庄市科技局项目《手术部位感染相关危险因素及高危人群的模型识别方法的研究》(195460155)。

摘　　要：目的:了解妇产医院环境监测情况,为合理制定医院感染预防和控制措施,有效实施清洁消毒隔离制度提供依据。方法:对我院2017年1月—2019年12月目标监测科室的空气、物体表面、医务人员手、使用中消毒液、医疗用水随机进行采样,分析监测结果。结果:3年共采集监测样本3288份,其中合格3050份,总合格率为92.76%;医院环境合格率整体呈上升趋势,由2017年的89.05%上升到2019年的96.15%,差异有统计学意义(χ^(2)=36.819,P<0.01);医院环境中检出菌以非发酵菌为主,占50.42%;其次革兰阴性杆菌和革兰氏阳性球菌分别占28.99%和19.33%,霉菌占1.26%。检出菌种前3位分别为铜绿假单胞菌、假产碱假单胞菌和嗜麦芽窄食单胞菌。结论:医院的物体表面和医务人员手卫生监测合格率不断提高,但口腔综合治疗仪的水路污染较严重,应采取综合干预措施,建立规范化的监督机制,不断提高医疗用水的合格率。Objective To understand the situation of environmental monitoring in obstetrics and gynecology hospital,and to provide the basis for formulating reasonable prevention and control measures of nosocomial infection and effectively implementing the system of cleaning,disinfection and isolation.Methods Sampling and monitoring the air,object surface,medical staff hands,disinfectant in use,and medical water in the key departments of our hospital from January 2017 to December 2019,and retrospectively analyzing the monitoring results.Results A total of 3288 monitoring samples were collected in 3 years,of which 3050 were qualified,and the total qualified rate was 92.76%.The overall environmental qualification rate of hospitals showed an increasing trend,from 89.05%(2017)to 96.15%(2019),with statistical significance(χ^(2)=36.819,P<0.01).Non-fermentative bacteria were the main bacteria detected in hospital environment,accounting for 50.42%.Secondly,gram-negative bacilli and grampositive cocci accounted for 28.99%and 19.33%,respectively,and mold accounted for 1.26%.The top 3 strains were Pseudomonas aeruginosa,Pseudoalkalogenic Pseudomonas aeruginosa and Stenotrophomonas maltophilia.Conclusion The passing rate of the object surface of the hospital and the hand hygiene monitoring of medical staff are constantly increasing,but the water pollution of the oral comprehensive treatment station is serious.Comprehensive intervention measures should be taken to establish a standardized supervision mechanism to continuously improve the passing rate of medical water.

关 键 词：妇产医院 环境卫生学 消毒 监测 

分 类 号：R197.3[医药卫生—卫生事业管理]