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目的了解天津市蓟县医疗机构消毒质量状况,分析存在问题,为评价和提高医疗机构消毒质量提供依据。方法采用现场调查和采样检测方法对医疗机构消毒质量进行监测,监测项目包括使用中的消毒剂、空气、物体表面、医护人员手、紫外线灯和压力蒸汽灭菌器。结果医疗机构消毒效果平均合格率为88.10%。监测项目中,使用中消毒剂合格率最高,为94.44%;高压蒸汽灭菌器合格率最低,仅71.43%;二级及以上医院消毒灭菌质量优于一级医院和社会办医机构,合格率分别为96.12%、86.06%和69.57%。结论医疗机构消毒灭菌效果不甚乐观,应加强对基层医疗机构消毒管理,加强医务人员培训,提高消毒质量,控制医院内感染。
Objective To understand the quality of disinfection in medical institutions in Jixian, Tianjin, analyze the existing problems and provide evidence for evaluating and improving the disinfection quality of medical institutions. Methods The on-site investigation and sampling methods were used to monitor the disinfection quality of medical institutions. The monitoring items included disinfectants, air, surface of objects, medical staff’s hands, UV lamps and pressure steam sterilizers. Results The average qualified rate of disinfection in medical institutions was 88.10%. Monitoring projects, the use of disinfectant pass rate was the highest, 94.44%; high-pressure steam sterilizer lowest pass rate, only 71.43%; second-tier and above hospitals disinfection and sterilization quality better than the first-class hospitals and social medical institutions, qualified Rates were 96.12%, 86.06% and 69.57% respectively. Conclusion The disinfection and sterilization effects of medical institutions are not optimistic. We should strengthen the disinfection management of primary medical institutions, strengthen the training of medical personnel, improve the quality of disinfection and control the infection in hospitals.