南京市某区基层口腔诊疗机构消毒管理现状调查  

Survey on disinfection status of grassroots dental clinics in a certain area of Nanjing City

作　　者：张红芳[1] 闫丽 孔庆芳[1] 顾健[2] ZHANG Hong-fang;YAN Li;KONG Qing-fang;GU Jian(Zhongda Hospital Southeast University,Nanjing 210009,China;Jiangsu Provincial Center for Disease Control and Prevention)

机构地区：[1]东南大学附属中大医院,江苏南京210009 [2]江苏省疾病预防控制中心

出　　处：《中国消毒学杂志》2024年第9期678-680,共3页Chinese Journal of Disinfection

基　　金：江苏省社会科学基金项目(20SHB002);江苏省卫健委预防医学科研课题项目(YI2023001)。

摘　　要：目的调查南京市某区基层口腔诊疗机构消毒管理现状,为进一步完善医源性感染防控措施提供依据和参考。方法2023年5—6月采用问卷调查法,对该区111家基层口腔诊疗机构的布局、消毒流程、消毒设施配置、综合治疗台水路消毒和灭菌质量控制进行调查。结果民营口腔诊所、民营门诊部口腔科和社区卫生服务中心设置独立无菌物品存放区的落实率均较高(≥90.0%),差异无统计学意义(P>0.05)。民营口腔诊所和民营门诊部口腔科设置独立回收清洗区的落实率较高(>95.0%),但手卫生设施齐全和开展消毒灭菌相关培训的落实率均较低(<50.0%)。民营口腔诊所和民营门诊部口腔科的消毒设备配备率均高于社区卫生服务中心口腔科(P<0.05),其中小型灭菌器配置率分别为98.5%和94.3%。结论民营口腔诊所和门诊部口腔科的消毒设施设备较完善,但生物监测较少;社区卫生服务中心口腔科供水监测较多,但水路消毒较少。管理部门应加大监督力度,督促改进与完善。Objective To investigate the current situation of disinfection management in grassroots oral diagnosis and treatment institutions in a certain district of Nanjing,and to provide a basis and reference for further improving the prevention and control measures of iatrogenic infections.Methods A questionnaire survey was conducted from May to June 2023 to investigate the layout,disinfection process,disinfection facility configuration,comprehensive treatment table waterway disinfection,and sterilization quality control of 111 grassroots dental clinics in the area.Results The implementation rate of setting up independent sterile storage areas in private dental clinics,private outpatient departments,and community health service centers was high(≥90.0%),and the difference was not statistically significant(P>0.05).The implementation rate of setting up independent recycling and cleaning areas in private dental clinics and clinics was relatively high(>95.0%),but the implementation rate of complete hand hygiene facilities and conducting disinfection and sterilization related training was relatively low(<50.0%).The configured rate of disinfection equipment in private dental clinics and private outpatient departments was higher than that in community health service center dental departments(P<0.05),with the equipping rate of small sterilizers being 98.5%and 94.3%,respectively.Conclusion The disinfection facilities and equipment in private dental clinics and outpatient departments are relatively complete,but there is less biological monitoring.The community health service center’s dental department has more water supply monitoring,but there is less disinfection of waterways.Relevant administrative departments should strengthen the supervision and urge the improvement and perfection.

关 键 词：基层口腔诊所 消毒 布局 流程 设备设施 

分 类 号：R187[医药卫生—流行病学]