A市2008年～医院消毒效果监测结果分析医学.docVIP

A市2008年～医院消毒效果监测结果分析医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：A市2008年～医院消毒效果监测结果分析医学 1 见表1 3 文2：A市2008年～医院消毒效果监测结果浅析 4 见表1 6 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 9 正文 A市2008年～医院消毒效果监测结果分析医学 文1：A市2008年～医院消毒效果监测结果分析医学 【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 percent. The qualified rate of municipal hospitals was percent, the enterprises hospital was percent, the hospitals belonged to country was percent, the private hospitals was %; Among the different monitoring objects, the qualified rate of room air was percent, the surface of was percent, the hands of medical peonnel was percent, the used disinfectants was percent, sterilization items was percent, the effect of pressure steam sterilizer sterilization was percent, the dialysis fluid was %, the hospital waste water was 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 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。 采样与检测方法 对室内空气用直径为9cm普通营养琼脂平板，置于室内各采样点距离地面 高度，沉降5min采样，将采样平板置于37℃培养18～48h，计算细菌总数；对物体表面和医务人员手，在消毒4小时内用浸有使用液的棉拭子进行涂抹采样；用浸有含相应中和剂的采样液的无菌棉拭子在规定区域内作涂抹采样，将采样棉拭子置于10ml中和剂采样液的试管中，经充分振荡洗下细菌，取样进行活菌计数培养，检测细菌总数和致病菌；使用中消毒剂取1ml加入到9ml相应中和剂溶液中混匀，进行活菌计数；取透析机的出入口液10ml，检测细菌总数和致病菌；医疗用品经压力蒸汽灭菌后抽样进行无菌检测；用无菌瓶采集消毒处理后的医院污水500ml，送实验室检测粪大肠菌群数和致病菌。 结果判定标准 依据GB15982-1995《医院消毒卫生标准》、GB15981-1995《消毒与灭菌效果的评价方法与标准》、GB18