中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
2期
51-52,53
,共3页
罗彤%颜小平%祝纪华%曾月琴
囉彤%顏小平%祝紀華%曾月琴
라동%안소평%축기화%증월금
基层医疗机构%消毒质量%监测%评价
基層醫療機構%消毒質量%鑑測%評價
기층의료궤구%소독질량%감측%평개
Grassroots medical institutions%The quality of disinfection%Monitor%Evaluation
目的：了解夹江县基层医疗机构消毒效果，及时发现存在的问题，进一步提高消毒质量，有效预防和控制医院感染。方法：于2014年对夹江县辖区内97家基层医疗机构(包括乡镇卫生院、村卫生室、个体诊所)，按《医院消毒卫生标准》(GB15982-2012)及卫生部2012版《消毒技术规范》要求，进行消毒效果监测及评价。结果：本次共监测消毒样品583件，合格431件，合格率为73.9%；其中各类环境中空气、医护人员手、物体表面、使用中消毒剂、灭菌器械的合格率分别为64.5%、68.1%、67.6%、80.4%、87.2%；乡镇卫生院共监测208件，合格率为83.7%；村卫生室监测225件，合格率为69.3%；个体诊所监测150件，合格率为67.3%。经统计分析，村卫生室和个体诊所总体消毒效果与乡镇卫生院比较差异均有统计学意义(P<0.05)，另外乡镇卫生院的使用中消毒剂和无菌器械合格率较高，与其他检测项目比较差异均有统计学意义(P<0.05)。结论：总体来看，我县基层医疗机构消毒质量不容乐观，需要加强消毒卫生管理，监督和监测，规范消毒技术操作，提高消毒卫生质量。
目的：瞭解夾江縣基層醫療機構消毒效果，及時髮現存在的問題，進一步提高消毒質量，有效預防和控製醫院感染。方法：于2014年對夾江縣轄區內97傢基層醫療機構(包括鄉鎮衛生院、村衛生室、箇體診所)，按《醫院消毒衛生標準》(GB15982-2012)及衛生部2012版《消毒技術規範》要求，進行消毒效果鑑測及評價。結果：本次共鑑測消毒樣品583件，閤格431件，閤格率為73.9%；其中各類環境中空氣、醫護人員手、物體錶麵、使用中消毒劑、滅菌器械的閤格率分彆為64.5%、68.1%、67.6%、80.4%、87.2%；鄉鎮衛生院共鑑測208件，閤格率為83.7%；村衛生室鑑測225件，閤格率為69.3%；箇體診所鑑測150件，閤格率為67.3%。經統計分析，村衛生室和箇體診所總體消毒效果與鄉鎮衛生院比較差異均有統計學意義(P<0.05)，另外鄉鎮衛生院的使用中消毒劑和無菌器械閤格率較高，與其他檢測項目比較差異均有統計學意義(P<0.05)。結論：總體來看，我縣基層醫療機構消毒質量不容樂觀，需要加彊消毒衛生管理，鑑督和鑑測，規範消毒技術操作，提高消毒衛生質量。
목적：료해협강현기층의료궤구소독효과，급시발현존재적문제，진일보제고소독질량，유효예방화공제의원감염。방법：우2014년대협강현할구내97가기층의료궤구(포괄향진위생원、촌위생실、개체진소)，안《의원소독위생표준》(GB15982-2012)급위생부2012판《소독기술규범》요구，진행소독효과감측급평개。결과：본차공감측소독양품583건，합격431건，합격솔위73.9%；기중각류배경중공기、의호인원수、물체표면、사용중소독제、멸균기계적합격솔분별위64.5%、68.1%、67.6%、80.4%、87.2%；향진위생원공감측208건，합격솔위83.7%；촌위생실감측225건，합격솔위69.3%；개체진소감측150건，합격솔위67.3%。경통계분석，촌위생실화개체진소총체소독효과여향진위생원비교차이균유통계학의의(P<0.05)，령외향진위생원적사용중소독제화무균기계합격솔교고，여기타검측항목비교차이균유통계학의의(P<0.05)。결론：총체래간，아현기층의료궤구소독질량불용악관，수요가강소독위생관리，감독화감측，규범소독기술조작，제고소독위생질량。
Objective:To know the disinfection effect of basic medical institutions in Jiajiang county,find the existing problems timely,to further improve the quality of disinfection,effectively prevent and control the hospital infection.Method:In 2014 in Jiajiang county,the Jiajiang county area of 97 grassroots medical institutions (including township hospitals,village health room,private clinics),according to“Hygienic standard for disinfection in hospitals"(GB15982-2012) and the Ministry of health 2012 edition“disinfection technical specifications"requirement,the disinfection effects were monitored and evaluated. Result:A total of 583 samples of monitoring sterilization,431 specimen were eligible,the qualified rate was 73.9%.In the various kinds of environment in air and hands of medical personnel,the surface of the object,the hand disinfectant in use,the sterilization equipment,the qualified rate respectively was 64.5%, 68.1%,67.6%,80.4%,87.2%.The 208 parts of township health centers were monitored,the qualified rate was 83.7%.The 225 parts of village health room were monitored,the qualified rate was 69.3%.The 150 parts of individual clinic were monitored,the qualified rate was 67.3%.After statistical analysis,compared with township health centers,the overall effect of disinfection in village health room and individual clinic,the differences were statistically significant(P<0.05).In addition,the use of disinfectants and the qualified rate of sterile instruments in township hospitals were higher than other test items,the differences were statistically significant(P<0.05).Conclusion:Overall,the disinfection quality of medical institutions at the grassroots in our county is not optimistic,the need to strengthen the disinfection and health management,supervision and monitoring,standardize the operation of disinfection technology,improving disinfection quality.
