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目的分析铜陵市医疗机构2004~2008年消毒质量监测资料,找出消毒管理工作中存在的问题,为预防和控制医源性感染提供依据。方法按照2002年版《消毒技术规范》的要求,对全市各级医疗机构的消毒灭菌相关物品进行现场采样和实验室检测,监测医疗机构消毒灭菌效果。结果5年消毒质量总合格率84.31%,总合格率在不同年度间差异有显著性(χ2=26.57,P<0.05)。不同监测项目合格率之间差异有显著性(χ2=404.63,P<0.001)。市直医院、社区及厂矿卫生所、个体诊所消毒监测总合格率分别为88.07%、83.21%、76.44%,总合格率在不同医疗机构间差异有显著性(χ2=42.26 P<0.05)。结论铜陵市医疗机构的消毒管理还存在不足,尤其是社区和厂矿卫生所、个体诊所的消毒质量管理存在问题较大。
Objective To analyze the data of disinfection quality monitoring in medical institutions of Tongling from 2004 to 2008 and find out the problems existing in the disinfection management and provide the basis for prevention and control of iatrogenic infection. Methods According to the requirements of the 2002 edition of “Technical Specifications for Disinfection”, on-site sampling and laboratory testing of disinfection and sterilization related articles of medical institutions at all levels in the city were conducted to monitor the disinfection and sterilization effects of medical institutions. Results The total qualified rate of disinfection for 5 years was 84.31%. The total qualified rate was significantly different in different years (χ2 = 26.57, P <0.05). There was a significant difference between the passing rates of different monitoring items (χ2 = 404.63, P <0.001). The total pass rate of disinfection monitoring in Hospitals, community hospitals, factories and mines clinics and individual clinics was 88.07%, 83.21% and 76.44% respectively. The total pass rate was significantly different among different medical institutions (χ2 = 42.26 P <0.05). Conclusion Tongling City, the disinfection of medical institutions there are still inadequate management, especially in community and factories and mines, clinics, individual clinics disinfection quality management problems.