2001—2005年湖南省级医院消毒效果分析

Assessment on Disinfection Effect in Hospitals at Province Level in Hunan, China in 2001-2005

目的了解湖南省省级医疗机构的消毒卫生状况。方法2001—2005年对湖南省13所省级医院的手术室、ICU室、无菌室、预麻室、供应室、洁净走廊等处的消毒质量进行卫生监测。对室内空气、物体表面、使用中的消毒剂、医护人员手、医院污水、压力蒸汽灭菌器、口腔用手机头、眼针、胃镜、肠镜、紫外线灯按照GB15982—1995《医院消毒卫生标准》、GB15981—1995《消毒与灭菌效果的评价方法与标准》、GB8978—1996《医院污水排放标准》、GB18466—2001《医疗机构污水排放要求》、GB15980—1995《一次性使用医疗用品卫生标准》和《消毒技术规范》(2002)进行检测和评价。结果2001—2005年13所省级医院消毒总合格率为90.10%,各年度消毒合格率呈上升趋势。室内空气、物体表面、医护人员手、医院污水、压力蒸汽灭菌器、胃镜、肠镜、紫外线灯消毒合格率分别为80.46%(519/645),94.09%(430/457),92.09%(326/354),79.59%(78/98),97.10%(67/69),75%(6/8),91.67%(44/48)。使用中的消毒剂、口腔用手机头、眼针消毒均合格。室内空气、物体表面、医护人员手不合格指标均为菌落总数,医院污水不合格指标为总余氯。结论湖南13所省级医院消毒工作质量不断提高,应进一步加强医院消毒技术指导,加大监督监测工作力度。

Objective To know the status of disinfection conducted in the hospitals at province level in Hunan province aimed to make the intervention strategy for prevention and control of diseases transmission. Methods The related items of hospitals at province level were examined and evaluated according to the national standards such as GB15982-1995 Hygienic Standard for Disinfection in Hospital, GB15981-1995 Evaluating Method and Standard for the Efficacy of Disinfection and Sterilization, GB8987-1996 Requirements for Hospital Sewage Discharge, GB18466-2001 Requirements for Medical Organization Sewage Discharge, GB15980-1995 Hygienic Standard of Disinfection for Single Use Medical Products and Technical Standard for Disinfection （2002）. Results As for the disinfection effect in the present investigation, the total qualified rate was 90.10%, the annual qualified rate was increasing. Conclusion The surveillance of hospital disinfection is a long-term task, to supervise and improve the hospital disinfection is necessary to ensure patient and society safety.