2008-2009年广东市、县、乡镇、个体四级医疗机构消毒质量监测分析

Monitoring and analysis on disinfection quality of different level hospitals in guangdong province from 2008 to 2009

目的了解广东省各级医疗机构消毒监测质量,发现问题并加强监测。方法收集2008-2009年广东省各级疾病预防控制机构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,用SPSS统计软件进行分析。结果 2008、2009年全省医疗机构消毒监测样品总数分别为200 809、221 218份,合格率分别为90.59%、91.32%,总合格率为90.97%。市、县、镇、个体四级医疗机构的消毒质量监测合格率依次为93.84%、94.03%、89.92%、89.92%,四级医疗机构的消毒质量监测合格率经趋势2χ检验,差异有统计学意义。呈市、县、镇、个体医疗机构合格率下降的趋势;监测项目以一次性卫生用品、使用中消毒液的合格率为最高,分别为98.31%、98.20%,空气、污水的合格率最低,分別为72.51%、80.27%。结论各级医疗机构需加强空气、污水的消毒工作;乡镇、个体医疗机构是今后消毒监测工作的重点,尤其要加强灭菌器械的使用管理。

Objective To learn the disinfection quality of hospitals in Guangdong province,find out the problems and strengthen the monitoring of nosocomial infections.Method Collecting the disinfection data from the center for diseases control and prevention in Guangdong Province from 2008 to 2009,the data was according to unified technical scheme and analyzed by SPSS software.Results From 2008 to 2009,200 809 and 221 218 samples were detected and the qualified rate were 90.59%、91.32% respectively,the total qualified rate was 90.97%.The qualified rates of hospitals at cities,counties and towns and individual level in 2 years were 93.84%、94.03%、89.92%、89.92% respectively,which had significant difference by χ^2 test and the qualified rates were decline.Among the monitoring items,the qualified rate of disposable medical supplies and disinfectant were the highest（98.31%、98.20% respectively）,the bacterial contents in air and sewage were the lowest（72.51%、80.27% respectively）.Conclusions We should strengthen the disinfection of air and sewage in different level hospitals,and the disinfection work for medical agencies at township and individual were the focal point,especially tighten up the management of instruments.