论文部分内容阅读
目的了解桐庐县各级医疗机构消毒质量情况,探讨消毒监测中存在的问题,以便加强医院感染控制和消毒工作质量。方法收集2004-2008年桐庐县疾病预防控制中心按照统一的技术方案对医疗机构进行消毒质量监测的数据,并用CS10.34统计软件进行统计分析。通过对不同监测项目的监测结果加以分析,发现医疗机构消毒质量存在的问题。结果 5年共采样5266份,合格4603份,平均总合格率为87.41%,2004-2008年合格率依次为78.75%、86.90%、89.99%、93.46%和95.21%,各年度比较差异有统计学意义(P<0.05),且呈逐年上升的趋势。县级、乡镇、村卫生室(包括个体诊所)三级医疗机构合格率依次为94.66%、89.26%、87.41%,差异有统计学意义(P<0.05)。不同监测项目中,使用中消毒液、压力蒸汽灭菌、器械残留血、医务人员手、医院污水合格率依次为98.25%、98.25%、94.43%、68.69%和54.79%,不同项目合格率差异有统计学意义(P<0.05)。结论不同级别的医疗机构消毒工作质量有所不同,乡镇及以下的医疗机构是今后消毒监测工作的重点,同时做好技术指导,提高消毒工作水平,减少医院感染事件的发生。
Objective To understand the quality of disinfection of medical institutions at all levels in Tonglu County and explore the problems in disinfection monitoring in order to strengthen the quality of hospital infection control and disinfection. Methods The data of monitoring the disinfection quality of medical institutions in Tonglu County Center for Disease Control and Prevention from 2004 to 2008 were collected and statistically analyzed with CS10.34 statistical software. Through the monitoring results of different monitoring items to be analyzed and found that the quality of medical institutions disinfection problems. Results A total of 5266 samples were obtained in 5 years, 4603 were eligible, with an average total passing rate of 87.41%. The passing rates in 2004-2008 were 78.75%, 86.90%, 89.99%, 93.46% and 95.21% respectively, with statistically significant differences in each year Significance (P <0.05), and showed an upward trend year by year. The qualified rate of tertiary medical institutions at the county, township and village clinics (including individual clinics) was 94.66%, 89.26% and 87.41%, respectively, with significant differences (P <0.05). Among different monitoring items, the passing rate of disinfectant, steam sterilization, residual blood of equipment, hand of medical staff and hospital sewage were 98.25%, 98.25%, 94.43%, 68.69% and 54.79% respectively in succession. The difference of qualification rate of different projects was Statistical significance (P <0.05). Conclusion Different levels of medical institutions have different quality of disinfection work. Medical institutions in villages and towns and below are the focus of disinfection monitoring in the future. At the same time, they should provide technical guidance, raise the level of disinfection work and reduce the incidence of nosocomial infections.