2007年上海市奉贤区医疗机构老年护理病房消毒状况调查

Investigation on Disinfection and Isolation in Senile Ward in Medical Institutes in Fengxian District of Shanghai City in 2007

[目的]了解老年护理病房消毒隔离现状,为进一步加强医疗机构消毒隔离管理工作打下基础。[方法]2007年10月,对上海市奉贤区内开设老年护理病房的19所医院进行调查并采样检测。[结果]19所医院均配备护士和护工兼任消毒员,17所老年病区有消毒隔离制度和定期培训制度,16所能定期对病区消毒隔离情况进行检查或检测,11所建立了院内感染登记、监测、报告制度。本次采样114份,微生物指标合格率为71.93%。其中,室内空气合格率47.37%,厕所扶手78.95%,床头柜73.68%,护士手94.74%,护工手57.89%,被褥78.95%;各种检测对象均有大肠菌群检出,床头柜、厕所扶手、被褥均检出金黄色葡萄球菌。[结论]奉贤区医疗机构老年护理病房消毒隔离管理制度较完善,但预防性消毒质量不高。

[Objective]To understand disinfection and isolation status in senile ward,provide basis for further improvement of disinfection and isolation. [Methods]Investigation and sampling were conducted in 19 hospitals which had senile wards in Fengxian district,Shanghai,in Oct 2007. [Results]Nurses and assistant nursing workers were responsible for disinfection during part-time. Disinfection and isolation system as well as training system were set up in 17 hospitals. Regular supervision and examination of disinfection and isolation were conducted in 16 hospitals. Reporting system of record of nosocomail infection and supervision was set up in 11 hospitals. Of the 114 samples tested, the qualified rate of microorganism was 71.93%. The qualified rate of room air, handrail in toilet, bedside cupboard, nurses＂ hands, assistant nursing workers＂ hands, bedclothes was 47.37%, 78.95%, 73.68%, 94.74%, 57.89 %and 78.95% respectively. Coli group was detected in all the target samples. Staphylococcus aureus was detected from bedside cupboard, handrail in toilet and bedclothes. [Conclusion]The system of disinfection and isolation in senile ward was perfect, but the quality of preventive disinfection was not up to standard.