2018—2022年四川省省直医疗机构消毒效果监测结果分析  

Surveillance results of the disinfections effect in provincial medical institutions of Sichuan Province from 2018 to 2022

作　　者：马慧 李张[1] 康晓熙[1] 胡顺铁[1] 吴庆[1] 郁文[1] 蔡素芳[1] MA Hui;LI Zhang;KANG Xiaoxi;HU Shuntie;WU Qing;YU Wen;CAI Sufang(Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China.)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《职业卫生与病伤》2024年第1期44-48,共5页Occupational Health and Damage

摘　　要：目的 评价四川省省直医疗机构消毒灭菌的效果,分析消毒监测工作中发现的问题,为进一步开展专项监测工作提供依据,提高医院感染管理质量。方法 依据《医院消毒卫生标准》(GB 15982-2012),于2018—2022年对四川省省直医疗机构的室内空气、物体表面、医务人员手、消毒后内镜、医院污水等进行现场采样及实验室检测,应用SPSS 21.0统计软件对监测数据进行统计分析。率的比较采用χ^(2)检验或Fisher’s确切检验,检验水准为α=0.05。结果 2018—2022年共检测样品3 029份,合格3 000份,总合格率为99.04%。各年份合格率分别为98.55%、99.08%、98.95%、99.08%和100.00%,合格率比较差异无统计学意义(χ^(2)=5.571,P=0.229);室内空气、物体表面、医院污水、医护人员卫生手、外科手、消毒后内镜、压力蒸汽灭菌器平均合格率分别为99.61%、99.80%、94.96%、98.75%、99.71%、95.24%和98.81%,各检测项目合格率比较差异有统计学意义(Fisher’s确切检验P<0.001)。结论 四川省省直医疗机构消毒质量总体效果较好,但仍存在部分指标合格率较低现象,今后要继续加强对医院污水、消毒后内镜、医护人员手等专项监测,不断提高消毒工作质量。Objective To evaluate the disinfection effect of provincially medical institutions of Sichuan Province,so as to analyze the problems found in surveillance,to provide basis for further special monitoring and improve the quality of nosocomial infection management. Methods From 2018 to2022,according to GB 15982-2012 Sanitary Standards for Nosocomial Disinfection,field sampling and labrotary detection method were used to test the indoor air, object surface, medical staff's hands,post disinfection endoscopes,and hospital sewage. The test results were sorted and analyzed through using SPSS 21.0 software. Chi-square test or fisher's exact test was used to compare the qualified rates, and the test level α =0.05. Results A total of 3 029 samples were collected from2018 to 2022, of which 3 000 were qualified, with the overall qualified rate was 99.04%. The qualified rates in 2018,2019,2020,2021 and 2022 were 98.55%,99.08%,98.95%,99.08% and100.00%, respectively. There was no statistically significant difference in the qualification rate among different years (χ2=5.571,P=0.229). Among the different monitoring items,the qualified rate of indoor air was 99.61%,object surface was 99.80%,hospital sewage was 94.96%,medical staff's hands was 98.75%,medical staff's surgical hands was 99.71%,post disinfection endoscopes was 95.24% and autoclaves was 98.81%, The difference between the test items was considered statistically significant(Fisher's exact test P<0.001). Conclusions The disinfecting effects of provincially medical institutions are generally well in Sichuan, but the qualified rate of some indicators is still low. In the future, the hospital sewage, medical staff's hand, post-disinfection endoscope should continue to further special monitoring, and constantly improve the quality of disinfection.

关 键 词：医疗机构 消毒效果 监测 

分 类 号：R187[医药卫生—流行病学]