A市2008年～2010年医院消毒效果监测结果分析.docVIP

A市2008年～2010年医院消毒效果监测结果分析 作者：王芳 胡卓 钟艳 方英 罗建平 杨林飞 【摘要】目的 医院是病人高度集中的场所，医院内环境受到污染机会多，污染的微生物种类复杂，搞好医院环境和物品消毒与灭菌是控制医院内感染的关键因素。为了解A市各级医院卫生消毒与灭菌质量情况，加强医院感染的预防和控制措施，我们于2009～2010年连续2年对A市各级医院进行了消毒与灭菌效果监测。方法 用现场抽样检测方法进行采样和检测。结果 A市40家医院2009～2010年度消毒效果监测平均合格率分别为空气合格率为98.99%,物体表面消毒合格率为99.25%,医务人员手消毒合格率为96.89%,使用中的消毒液合格率为94.17%,透析液合格率为98.75%，医院污水合格率为98.75%。结论A市40家医院医院消毒质量整体水平较好,存在部分不足，应加强执法检查。 结论 各级医院消毒与灭菌质量合格率呈现逐年上升趋势，但医院污水及灭菌物品合格率不是很高，消毒与灭菌质量还有待提高。 【关键词】医院 消毒与灭菌 效果 监测 【Abstract】Objective Investigated the quality of disinfection and sterilization in the hospital in the city of Panzhihua to provide a basis for the management of hospital infection. Method Examine the disinfection and sterilization condition of the hospitals. Results A total of 1683 samples were collected during the 3-year monitoring from 2006 to 2008; the total qualified rate was 94.41 percent. The qualified rate of municipal hospitals was 99.05 percent, the enterprises hospital was 93.51 percent, the hospitals belonged to country was 94.89 percent, the private hospitals was 91.95%; Among the different monitoring objects, the qualified rate of room air was 83.71 percent, the surface of was 100.00 percent, the hands of medical personnel was 96.13 percent, the used disinfectants was 99.53 percent, sterilization items was 100.00 percent, the effect of pressure steam sterilizer sterilization was 97.92 percent, the dialysis fluid was 97.44%, the hospital waste water was 91.43 percent. Conclusion The qualified rate of disinfection and sterilization quality in the hospitals has increased year by year, but the room air, sewage in hospital and the hands of hospital medical staff was low comparatively, the quality of disinfection and sterilization yet to be improved. 【Key words】hospital disinfection and sterilization effect monitoring 1 方法 1.1 监测对象与内容 监测对象为A市市属和病床位在100张以上的医院(含从事医学美容的私利医院)。监测内容为医院内各类环境室内空气、物体表面、医务人员手、使用中消毒剂、透析液、无菌物品和医院污水。 1.2 采样与检测方法 对室内