广州市部分月子中心消毒卫生质量监测分析  

Analysis on disinfection quality monitoring results in some partial postnatal care centers, Guangzhou city

作　　者：黄坤 陈金[1] 何杰能 汤灼明 徐建华[1] 翁开桂 HUANG Kun;CHEN Jin;HE Jie-neng;TANG Zhuo-ming;XU Jian-hua;WENG Kai-gui(Baiyun District Center for Disease Control and Prevention,Guangzhou,Guangdong,501445,China;不详)

机构地区：[1]广东省广州市白云区疾病预防控制中心,广东501445

出　　处：《预防医学论坛》2022年第7期559-560,F0003,共3页Preventive Medicine Tribune

摘　　要：目的 了解广州市月子中心的卫生现状,为下一步建立行业标准提供依据。方法 将广州市白云区11家月子中心全部纳入调查对象,依据GB 15982-2012《医院消毒卫生标准》,对公共区域高频接触的区域和工作人员手表面随机涂抹采样并进行细菌菌落总数培养,分别采用中位数(上四分位数,下四分位数)、合格率对统计结果进行描述和评价。结果 共采集广州市月子中心样品212份,其中物体表面195份(合格率86.15%),工作人员手17份(合格率76.47%)。污染最为严重的物体表面(为冰箱内表面)和工作人员手样品,菌落总数分别为300 CFU/cm和500 CFU/cm。按样品类别分析,恒温水壶/奶瓶消毒器/饮水机按钮[1.15(0.10,3.00)]、水龙头把手/马桶按钮[2.40(0.18,46.25)]、工作人员手[5.00(0.40,14.65)]的菌落总数中位数均高于灯开关/空调遥控器/电视遥控器[0.00(0.00,0.20)];按采样地点分析,配奶间菌落总数[2.00(0.50,18.50)]高于客房[0.10(0.00,0.80)],差异有统计学意义(P<0.05)。结论 广州市月子中心的消毒卫生现状需要引起关注,工作人员手表面、配奶间的消毒卫生质量较低。Objective To understand the health status of Guangzhou postpartum care centers, so as to provide suggestions for the establishment of industry standards. Methods All 11 postpartum care centers in Baiyun district of Guangzhou city were included in this survey.According to the Hygienic Standard for Hospital Disinfection(GB 15982-2012),the areas with high-frequency contact in public areas and the hand surfaces of workers were sampled by random smear and the total bacterial colonies were cultured.The statistical results were described and evaluated by the median(upper quartile, lower quartile) and qualified rate, respectively. Results A total of 212 samples were collected, of which 195 were surface samples of objects(qualified rate 86.2%) and 17 were surface samples of workers(qualified rate 76.5%).The most heavily contaminated samples of surfaces from objects(the inner surface of the refrigerator) and hands of workers were 300 CFU/cm~2 and 500 CFU/cm~2 respectively.Analysis by sample category, the median colonies of samples from surfaces of buttons of thermostat kettle/milk bottle sterilizer/water dispenser [1.15(0.10,3.00)],buttons of faucet handle/flush toilet [2.40(0.18,46.25)] and workers′ hands [5.00(0.40,14.65)] were all higher than those from surfaces of light switch/air conditioner remote control/TV remote control [0.00(0.00,0.20)]group;Analysis by sampling location, the total number of bacteria in the milk room [2.00(0.50,18.50)] was higher than that in the guest room [0.10(0.00,0.80)],the difference was statistically significant(P<0.05). Conclusion The health status of postnatal care centers needs to be concerned, the disinfection quality of workers′ hands and milk room is low.

关 键 词：月子中心 母婴卫生 消毒卫生 手卫生 菌落 

分 类 号：R187[医药卫生—流行病学] R715.5[医药卫生—公共卫生与预防医学]