杭州市医疗机构床单元终末消毒现状问卷调查  

Questionnaire survey for current status of terminal disinfection of bed units in medical institutions of Hangzhou

作　　者：傅晓青[1] 吴义城 常琴雪 张烨琳 肖冬琴[1] 王艳峰[1] 廖志雄[1] 倪凯文 FU Xiao-qing;WU Yi-cheng;CHANG Qin-xue;ZHANG Ye-lin;XIAO Dong-qin;WANG Yan-feng;LIAO Zhi-xiong;NI Kai-wen(Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou,Zhejiang 310007,China;不详)

机构地区：[1]杭州市中医院医院感染管理办公室,浙江杭州310007 [2]浙江大学医学院附属第二医院,浙江杭州310009

出　　处：《中华医院感染学杂志》2024年第22期3498-3503,共6页Chinese Journal of Nosocomiology

基　　金：浙江省自然科学基金(LQ23G030008);杭州市生物医药和健康产业发展扶持科技专项基金资助项目(2023WJC065)。

摘　　要：目的本研究对杭州市医疗机构的床单元终末清洁与消毒管理现状进行调查,为卫生管理人员制定床单元终末消毒标准操作流程提供参考依据,从而进一步提高床单元终末消毒质量。方法2023年7-8月通过问卷调查方式对杭州市62家医疗机构床单元终末清洁与消毒执行情况、消毒效果监测、臭氧消毒机使用、消毒人员及其培训等情况进行调查。结果在本次调查的62家医疗机构中,不同性质或不同等级医院的床单元物体表面消毒方式具有统计学差异(P<0.05),部分非公立医院或一级/未定级医院仅采用现配含氯消毒剂擦拭消毒。70.97%医疗机构会采用臭氧消毒机对床单元终末消毒,表明臭氧消毒机的使用率较高。对于床垫、枕芯和被芯的消毒,公立医院或者二级三级医院更倾向于使用臭氧消毒机,非公立医院或者一级/未定级医院更多使用紫外线灯照射。然而,在采样监测方面,会对床垫和枕头采样的医疗机构不到半数,分别占41.94%和35.48%。床单元消毒执行人员的培训和防护比较规范。结论杭州市医疗机构床单元终末清洁与消毒管理工作比较完善,臭氧消毒机的使用率较高,但仍需解决臭氧消毒机使用过程中出现的各类问题,加强床单元消毒效果监测。OBJECTIVE To investigate the current status of terminal cleaning and disinfection of bed units in the medical institutions of Hangzhou so as to provide bases for formulating standardized operation procedures of terminal disinfection of bed units and further improve the quality of terminal disinfection.METHODS A questionnaire survey was conducted for the status of execution of terminal cleaning and disinfection,monitoring of disinfection effect of bed units,use of ozone disinfection machine,disinfection personnel and training in 62 medical institutions of Hangzhou from Jul.2023 to Aug.2023.RESULTS Among the 62 medical institutions in the survey,there was significant difference in the disinfection approach of object surfaces of bed units among the hospitals of different nature or grades(P<0.05).Some of non-public hospitals or first-class/ungraded hospitals only adopted ready-to-use chlorine-containing disinfectants for wiping disinfection,70.97%of the medical institutions adopted the ozone disinfection machine for terminal disinfection of the bed units,indicating that the utilization rate of the ozone disinfection machine was high.As for the disinfection of mattresses,pillow inners and quilt inners,the public hospitals or secondary,tertiary hospitals tended to use the ozone disinfection machine,the non-public hospitals or the first-class/ungraded hospitals used ultraviolet radiator more frequently.However,in terms of monitoring of samples,the medical institutions that sampled from the mattresses accounted for 41.94%,the medical institutions that sampled from the pillows accounted for 35.48%.The training and protection of the disinfection personnel was relatively standardized.CONCLUSION The terminal cleaning and disinfection of bed units is relatively standardized in the medical institutions of Hangzhou,the utilization rate of ozone disinfection machine is high,and it is necessary to solve the various problems during the process of use of the machine and strengthen the monitoring of disinfection effect of the bed un

关 键 词：床单元 终末消毒 紫外线灯 臭氧消毒机 问卷调查 现况调查 杭州 医疗机构 

分 类 号：R187[医药卫生—流行病学]