中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
11期
681-684
,共4页
王飞%庞松涛%王欣%雷晓岗%刘如如
王飛%龐鬆濤%王訢%雷曉崗%劉如如
왕비%방송도%왕흔%뢰효강%류여여
消毒%灭菌%医疗机构%监测%质量控制%医院感染
消毒%滅菌%醫療機構%鑑測%質量控製%醫院感染
소독%멸균%의료궤구%감측%질량공제%의원감염
disinfection%sterilization%medical institute%surveillance%quality control%healthcare-associated infection
目的：了解西安市属各级医疗机构消毒灭菌质量现状，加强医院消毒工作的监督管理，以改进医疗机构消毒灭菌水平与感染控制措施。方法依据2002年版《消毒技术规范》和GB 15982－1995《医院消毒卫生标准》相关规定，对全市69所医疗机构的消毒灭菌效果进行监测与评价。结果2011—2013年共检测样品2224份，消毒灭菌质量合格1766份，总合格率为79．41％。消毒灭菌质量监测中，三级医疗机构合格率（83．67％）高于二级及以下医疗机构（77．50％），差异有统计学意义（P＝0．001）；公立医疗机构（79．64％）合格率与民营医疗机构合格率（78．20％）差异无统计学意义（P＝0．532）；综合医疗机构合格率（80．18％）高于专科医疗机构（74．92％），差异有统计学意义（P＝0．030）。不同监测对象（样品）中，使用中消毒剂和压力蒸汽灭菌效果（测试包和PCD）合格率（分别为98．46％、100．00％、98．06％）较高，医护人员手卫生和戊二醛合格率（分别为58．48％和43．28％）较低。结论西安市各级医疗机构消毒灭菌质量水平参差不齐，不同监测对象消毒灭菌质量差异较大，应重点加强医务人员手卫生和戊二醛浓度的监管工作。
目的：瞭解西安市屬各級醫療機構消毒滅菌質量現狀，加彊醫院消毒工作的鑑督管理，以改進醫療機構消毒滅菌水平與感染控製措施。方法依據2002年版《消毒技術規範》和GB 15982－1995《醫院消毒衛生標準》相關規定，對全市69所醫療機構的消毒滅菌效果進行鑑測與評價。結果2011—2013年共檢測樣品2224份，消毒滅菌質量閤格1766份，總閤格率為79．41％。消毒滅菌質量鑑測中，三級醫療機構閤格率（83．67％）高于二級及以下醫療機構（77．50％），差異有統計學意義（P＝0．001）；公立醫療機構（79．64％）閤格率與民營醫療機構閤格率（78．20％）差異無統計學意義（P＝0．532）；綜閤醫療機構閤格率（80．18％）高于專科醫療機構（74．92％），差異有統計學意義（P＝0．030）。不同鑑測對象（樣品）中，使用中消毒劑和壓力蒸汽滅菌效果（測試包和PCD）閤格率（分彆為98．46％、100．00％、98．06％）較高，醫護人員手衛生和戊二醛閤格率（分彆為58．48％和43．28％）較低。結論西安市各級醫療機構消毒滅菌質量水平參差不齊，不同鑑測對象消毒滅菌質量差異較大，應重點加彊醫務人員手衛生和戊二醛濃度的鑑管工作。
목적：료해서안시속각급의료궤구소독멸균질량현상，가강의원소독공작적감독관리，이개진의료궤구소독멸균수평여감염공제조시。방법의거2002년판《소독기술규범》화GB 15982－1995《의원소독위생표준》상관규정，대전시69소의료궤구적소독멸균효과진행감측여평개。결과2011—2013년공검측양품2224빈，소독멸균질량합격1766빈，총합격솔위79．41％。소독멸균질량감측중，삼급의료궤구합격솔（83．67％）고우이급급이하의료궤구（77．50％），차이유통계학의의（P＝0．001）；공립의료궤구（79．64％）합격솔여민영의료궤구합격솔（78．20％）차이무통계학의의（P＝0．532）；종합의료궤구합격솔（80．18％）고우전과의료궤구（74．92％），차이유통계학의의（P＝0．030）。불동감측대상（양품）중，사용중소독제화압력증기멸균효과（측시포화PCD）합격솔（분별위98．46％、100．00％、98．06％）교고，의호인원수위생화무이철합격솔（분별위58．48％화43．28％）교저。결론서안시각급의료궤구소독멸균질량수평삼차불제，불동감측대상소독멸균질량차이교대，응중점가강의무인원수위생화무이철농도적감관공작。
Objective To investigate the status of disinfection and sterilization quality of different levels of medical institu-tes in Xi’an,and improve the management level of disinfection and sterilization of medical institutes. Methods Disinfection and sterilization efficacy of 69 medical institutes were monitored and evaluated according to Standardization for Disinfec-tionTechniques (2002 edition)and Sanitary Standards for Hospital Disinfection (GB15982-1995). Results From 2011 to 2013,2 224 specimens were tested,1 766 (79.41% )were qualified.The qualified rate of tertiary medical institutes was higher than second and below medical institutes (83.67% vs 77.50% ,P= 0.001),the qualified rate between public medical institutes and private medical institutes was not statistically different (79 .64% vs 78 .20% , P= 0.532),the qualified rate of comprehensive medical institutes was higher than specialized medical institutes (80.18% vs 74.92% ,P= 0.030). Of different detected specimens,the qualified rates of disinfectant in use and pressure steam sterilizers (including test pack and process challenge device)were higher (98.46% ,100.00% ,and 98.06% respectively),while the hands of health care workers (HCWs)and glutaraldehyde were lower(58.48% and 43 .28% respectively).Conclusion Disinfection and sterilization quality in different medical institutes in Xi’an is dif-ferent,and different disinfected and sterilized objects are also varied .It is necessary to intensify the management of hand hygiene of HCWs and concentration of glutaraldehyde.
