2019—2021年安徽省三家不同级别医疗机构消毒质量分析  

Analysis of disinfection quality in three medical institutions of different levels in Anhui Province,China,2019-2021

作　　者：袁华玲[1] 吴磊[1] 杨雪峰[1] 陈李 孙盼 杨瑾 陈芳[1] 程文隽 徐佩茹 YUAN Hua-ling;WU Lei;YANG Xue-feng;CHEN Li;SUN Pan;YANG Jin;CHEN Fang;CHENG Wen-jun;XU Pei-ru(Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,China)

机构地区：[1]安徽省疾病预防控制中心,合肥230601

出　　处：《环境卫生学杂志》2024年第2期156-160,共5页JOURNAL OF ENVIRONMENTAL HYGIENE

基　　金：中国疾病预防控制中心全国医院消毒与感染控制监测项目(1311500010806)。

摘　　要：目的了解安徽省三家不同级别医疗机构消毒质量现状。方法于2019—2021年对选择的安徽省内市级医院、县级医院、乡镇卫生院三家不同级别医疗机构,每个季度监测其重点科室的医疗器械清洗效果、软式内镜、灭菌器、手术室人员外科手、医务人员卫生手、手术室空气、重点科室物体表面、医疗用水的采样结果,依据国家标准进行评估并分析。结果2019—2021年共检测市级医院、县级医院、乡镇卫生院三家不同级别医疗机构软式内镜、灭菌器等8类样本2033份,消毒质量监测总合格率为82.98%(1687/2033),3年间合格率差异具有统计学意义(χ^(2)=15.83,P<0.001)。不同监测项目中,医疗器械清洗效果、医务人员卫生手合格率较低,分别为74.24%(490/660),65.31%(224/343)。不同级别医疗机构消毒质量监测合格率差异也具有统计学意义(χ^(2)=74.47,P<0.001),二级及以上的医疗机构合格率分别为89.36%(655/733)、85.45%(611/715),均高于一级医疗机构的合格率。结论安徽省医疗机构消毒质量总体呈上升趋势,但不同级别医疗机构之间存在差距。Objective To investigate the current situation of disinfection quality in three medical institutions of different levels in Anhui Province,China.Methods From 2019 to 2021,three medical institutions of the city,county,and township levels in Anhui Province were selected for quarterly monitoring of disinfection quality.The indicators included cleaning quality of medical instruments,flexible endoscope,sterilizers,surgical hands of operating room personnel,hygiene hands of healthcare workers,air in operating room,surface of objective,and sampling result of medical water in key departments.The result were evaluated and analyzed according to national standards.Results From 2019 to 2021,a total of 2033 samples of 8 types such as flexible endoscopes and sterilizers were tested in three medical institutions at the levels of city,county,and township.The overall qualified rate of disinfection quality monitoring was 82.98%(1687/2033),and the difference in qualified rates between the three years was statistically significant(χ^(2)=15.83,P<0.001).Among the indicators,the qualified rates of cleaning quality of medical devices and hygiene hand of healthcare workers were relatively low,which were 74.24%(490/660)and 65.31%(224/343),respectively.The qualified rates of disinfection quality mo-nitoring also showed significant differences between different levels of medical institutions(χ^(2)=74.47,P<0.001).The qualified rates of secondary and tertiary medical institutions were 89.36%(655/733)and 85.45%(611/715),respectively,both higher than the qualified rate of primary medical institution.Conclusion The disinfection quality of medical institutions in Anhui Province has been improved over the years,but there are gaps in disinfection quality between medical institutions of different levels.

关 键 词：医疗机构 消毒质量 比较分析 

分 类 号：R12[医药卫生—环境卫生学]