夹江县基层医疗机构消毒质量监测及评价

摘要

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。%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.