安徽省部分地区2019—2022年托幼机构消毒工作状况分析  

Retrospective analysis of childcare center disinfection in some regions of Anhui Province during 2019-2022

作　　者：陈芳[1] 徐佩茹 程文隽 杨康 林浩飞 吴磊[1] 黄发源[1] 徐庆华[1] CHEN Fang;XU Peiru;CHENG Wenjun;YANG Kang;LIN Haofei;WU Lei;HUANG Fayuan;XU Qinghua(Disinfection and Insecticide Department,Anhui Provincial Center for Disease Control and Prevention,Hefei(230601),Anhui Province,China;不详)

机构地区：[1]安徽省疾病预防控制中心消毒杀虫科,合肥230601 [2]亳州市疾病预防控制中心急性传染病防治科 [3]黄山市疾病预防控制中心卫生监测科

出　　处：《中国学校卫生》2023年第11期1743-1746,共4页Chinese Journal of School Health

基　　金：中华预防医学会消毒科研项目(XD2022-Z-07)。

摘　　要：目的了解托幼机构在新冠病毒感染疫情前后消毒工作和专业技术支持需求情况,为提出改进措施提供依据。方法采用多阶段分层抽样法在安徽省皖北、皖南各选1个市,每市选取3个县/区,共抽选60家托幼机构,采用现场走访、查阅资料等方式对安徽省部分托幼机构开展问卷调查,调查托幼机构信息、2019—2022年分三阶段消毒工作情况,技术支持需求现况。结果2019,2020和2021—2022年分别调查托幼机构54,58,60家,2019—2022年消毒工作开展率最高均是消毒工作记录(96.3%,96.6%,98.3%),最低均是消毒因子强度监测(26.4%,26.3%,58.3%)。常态化防控阶段消毒监测评价开展率为68.3%,对专业技术支持需求率最高的是指导和培训(95.0%),培训内容需求率最高是消毒剂配制方法(81.7%)。2021—2022年,不同地市之间餐具消毒间配置率(A市:93.3%,B市:70.0%)、消毒监测评价开展率(A市:53.3%,B市:83.3%)差异有统计学意义(χ2值分别为6.24,5.46,P值均<0.05)。结论2019—2022年托幼机构消毒工作多数内容开展率提升,常态化防控阶段消毒因子强度监测和消毒监测评价工作开展率低,对专业技术机构提供消毒剂配制方法指导和培训的需求率高。建议加强托幼机构消毒监测评价和相关技术指导工作。Objective To understand the status of childcare center disinfection around the COVID-19 pandemic,the needs of professional technical support,so as to give advice for improvement measures.Methods Using multi-stage stratified sampling method,one was selected from each area of northern and southern Anhui Province,with 3 counties/districts selected from each city.A total of 54,58,60 childcare institutions were selected.A questionnaire survey,as well as on-site visits and data check were administered in these childcare centers in Anhui Province were implemented.Information regarding the three-stage disinfection work from 2019 to 2022 and technical support needs were collected.Results A total of 54,58,60 childcare centers were investigated in 2019,2020 and 2021-2022.Most of the childcare centers recorded disinfection work(96.3%,96.6%,98.3%),while few of them(26.4%,26.3%,58.3%)monitored disinfection factor intensity.The implementing rate of disinfection effect evaluation was 68.3%at the stage of normal prevention and control,the highest demand rate for professional technical support was guidance and training(95.0%),and the highest demand rate for training content was disinfectant preparation method(81.7%).There were significant differences in the rate of disinfection tableware room allocation(A:93.3%,B:70.0%),and the rate of disinfection effect evaluation among different cities(A:53.3%,B:83.3%)(χ2=6.24,5.46,P<0.05).Conclusions From 2019 to 2022,childcare center disinfection has significantly improved,however,disinfection factor intensity monitoring and disinfection effect evaluation are neglected during the stage of normal prevention and control.The demand for professional technical institutions to provide disinfectant preparation method guidance and training is high.It is suggested to strengthen the monitoring and evaluation of disinfection and related technical guidance.

关 键 词：日托幼儿园 消毒 环境监测 组织和管理 

分 类 号：R175[医药卫生—妇幼卫生保健] G478.1[医药卫生—公共卫生与预防医学] C36[文化科学—教育学]