口腔科门诊医院感染管理现状

Management Situation of Cross Infection in Outpatient Service of Stomatology in Hospital and Private Clinic: An Investigation and Analysis

目的了解本市医疗机构口腔科门诊医院感染管理现状,制定有效的预防和控制医院感染措施。方法对本市105所医院及个体诊所的口腔科门诊进行现场调查,建立调查表逐项检查登记。结果二级以上综合医院的感染管理较规范,市郊尤其是边远县个体诊所消毒卫生管理存在传播医源性疾病的较大隐患,主要表现为无有效的医疗器械和环境卫生的消毒,特别是手机消毒达不到要求。结论卫生部门加强个体诊所管理刻不容缓,应抓紧制定口腔器械特别是手机消毒的统一规范,督促建立完善的感染管理制度并定期检查和培训,对达不到要求的个体诊所要坚决取缔。

OBJECTIVE To investigate the management situation of cross infection in outpattent service of stomatology in hospital and clinic in Zhanjiang city and conduct effective measure to control hospital infection. METHODS In our investigation, we selected 105 hospitals and private clinics to inspect their management situation of cross infection via dental instrument. RESULTS The management in the hospitals of the city was quite qualified but the some private dental clinics were terrible. The main problems were as follows： no effective disinfection for dental instrument and the bad environment in procedure room, especially the worse sterilization situation of the dental handpieces. Most of the doctors in private clinics were short of knowledge in the sterilization for dental instruments. CONCLUSIONS There is no time to delay for the health administration department to normalize the management of the private dental clinics. It is essential to train the medical staffs, and implement measures for dental instrument disinfection management in private dental clinics.