2018-2023年新疆某二甲综合性医院消毒效果监测  

Disinfection effectiveness monitoring of a second-A general hospital in Xinjiang,2018-2023

作　　者：殷峰 买提娜什·那吾塔依 叶晓红 赵国玉[2] YIN Feng;Mai-ti-na-shi·NAWUTAYI;YE Xiao-hong;ZHAO Guo-yu(Branch of the First People's Hospital of Urumqi,Urumqi,Xinjiang 830011,China;不详)

机构地区：[1]乌鲁木齐市第一人民医院分院感染管理科,新疆乌鲁木齐830011 [2]新疆维吾尔自治区疾病预防控制中心新疆病媒传染病重点实验室,新疆乌鲁木齐830026

出　　处：《中华医院感染学杂志》2024年第19期3030-3034,共5页Chinese Journal of Nosocomiology

基　　金：中国疾病预防控制中心基金资助项目(102393220020080000016)。

摘　　要：目的了解2018-2023年新疆某二甲综合性医院消毒工作和消毒质量。方法2018-2023年通过现场采样对新疆某二甲综合性医院手术室空气、物体表面、医护人员手、内镜、医疗器械、低温等离子灭菌器、压力蒸汽灭菌器、医疗用水、诊疗用品、污水等10个项目进行消毒效果监测,并对监测结果进行分析。结果2018-2023年共监测各类项目1712份,合格1606份,合格率为93.81%,各年度合格率依次为89.94%、92.26%、94.72%、96.25%、94.55%、95.42%,各年度合格率的差异有统计学意义(χ^(2)=14.316,P<0.001);手术室空气合格率(98.53%)最高,医疗用水合格率(80.00%)最低,不同项目合格率的差异有统计学意义(χ^(2)=88.742,P<0.001);内镜在各年度的合格率差异有统计学意义(χ^(2)=9.886,P<0.001),医疗器械在各年度的合格率差异有统计学意义(χ^(2)=14.000,P<0.001),其他项目各年度的合格率差异无统计学意义。结论该医院消毒质量总体较好,但医疗用水的消毒需重点改进和提高,今后应有针对性地加强医疗机构消毒管理及监督指导,不断提高医疗机构消毒质量。OBJECTIVE To understand the disinfection work and disinfection quality of a second-class general hospital in Xinjiang from 2018 to 2023.METHOD The disinfection effect monitoring of 10 items such as operating room air,surface of objects,hands of medical staff,endoscopes,medical instruments,low-temperature plasma sterilizer,pressure steam sterilizer,medical water,medical supplies and sewage,et al were carried out through on-site sampling in 2018-2023 at a second-class general hospital in Xinjiang,and the results of the monitoring were analyzed.RESULTS A total of 1712 items of various types were monitored in 2018-2023,and 1606 were qualified,with a qualification rate of 93.81%,and the qualification rate in each year were 89.94%,92.26%,94.72%,96.25%,94.55%and 95.42%in the order of the qualification rates,and the difference in the qualification rates in each year was statistically significant(χ^(2)=14.316,P<0.001).The pass rate of operating room air(98.53%)was the highest,the qualified rate of medical water(80.00%)was the lowest,with a statistically significant difference in the pass rates of the different items(χ^(2)=88.742,P<0.001).There was a statistically significant difference in the pass rate of endoscopy across years(χ^(2)=9.886,P<0.001),medical devices across years(χ^(2)=14.000,P<O.001),and no statistically significant difference in the pass rate across years for other programs.CONCLUSION The disinfection quality of the hospital was generally good,but the disinfection of medical water needed to focus on improving and enhancing,in the future,targeted efforts should be made to strengthen the disinfection management,supervision and guidance of medical institutions,so as to continuously improve the disinfection quality of medical institutions.

关 键 词：医院消毒 消毒质量 监测 合格率 

分 类 号：R183[医药卫生—流行病学]