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[目的]了解上海市宝山区某医院消毒效果状况,探讨消毒改进措施的效果。[方法]依据《消毒技术规范》(原卫生部2002年版)对该院每月一次不定量采集的消毒物品进行消毒效果检测。[结果]该院消毒总合格率为97.94%(2 143/2 188);科室室内空气、操作台或发物台物体表面、医护人员手、使用的消毒剂和无菌物品合格率分别为97.22%、98.00%、98.26%、98.15%、98.33%;在不同年份间室内空气、物体表面、使用的消毒剂合格率差异有统计学意义(P<0.05)。2011、2012年的消毒合格率均高于2010年(χ2=18.337,P<0.01;χ2=16.326,P<0.01)。[结论]应加强医院感染管理工作,认真落实各项消毒制度,开展消毒技术知识培训,提高医务工作人员的消毒灭菌意识,提高医疗机构消毒质量。
[Objective] To understand the disinfection effect of a hospital in Baoshan District, Shanghai, and to discuss the effect of disinfection measures. [Method] According to the “disinfection technical specifications” (formerly the Ministry of Health 2002 edition) on the hospital once a month to collect disinfectant disinfection effect detection. [Results] The total qualified rate of disinfection in the hospital was 97.94% (2 143/2 188). The pass rates of indoor air of the department, the surface of the operating desk or the hair-raising station, the hands of the medical staff, the disinfectants and sterile articles used were 97.22 %, 98.00%, 98.26%, 98.15% and 98.33%, respectively. There was significant difference in pass rate of disinfectants used between indoor air and object surfaces in different years (P <0.05). The disinfection pass rates in 2011 and 2012 were higher than those in 2010 (χ2 = 18.337, P <0.01; χ2 = 16.326, P <0.01). [Conclusion] The management of hospital infection should be strengthened, the disinfection system should be conscientiously implemented, the training of disinfection technology knowledge should be carried out, the disinfection and sterilization awareness of medical staff should be raised, and the disinfection quality of medical institutions should be improved.