长沙县2009-2010年医疗机构消毒效果监测结果分析

Surveillance on Disinfection Effects of Medical Institutions in Changsha County from 2009 to 2010

目的了解长沙县医疗机构消毒灭菌质量状况,分析存在的问题,以提高医源性感染控制水平。方法按照卫生部《消毒技术规范》、《医院消毒卫生标准》GB15982-1995、《消毒与灭菌效果的评价方法与标准》GB15981-1995,在2009-2010年对全县各级医疗机构的消毒质量进行检测。结果 2009-2010年样品总合格率分别为83.3%、91.6%;使用中消毒液和无菌器械保存液的合格率最高为100%,其次是压力蒸汽灭菌效果为91.7%,物体表面、空气、灭菌医疗用品、医护人员手的合格率依次为89.5%、85.9%、84.6%、80.9%;县级医疗机构总合格率为95.4%、乡镇医院为81.3%、个体诊所和村卫生室为71.7%、私立医院为94.2%。结论长沙县医疗机构消毒效果呈上升趋势,今后仍需加强对物体表面、空气、灭菌医疗用品、医护人员手的消毒监测工作,重点是乡镇卫生院,特别是个体诊所和村卫生室的消毒质量更应加强监督管理、技术知识培训,医院自身要健全消毒工作制度,加强消毒措施的硬件建设和人员培训,共同提高医院感染的控制能力。

Objective To investigate the quality status of sterilization and disinfection in medical institutions of Changsha County,to analyze the existing problems so as to improve the level of iatrogenic infection control.Methods According to ＂Disinfection Technology Standard＂ issued by the Ministry of Health,＂Hospital Disinfection Sanitary Standard＂（GB15982-1995）,and ＂Assessment Method and Standard of Disinfection and Antiseptic Effects＂（GB15981-1995）,the disinfection quality of all levels of medical institutions in Changsha County during the period of 2009~2010 was detected.Results The qualified rates of the detected samples in 2009 and 2010 were 83.3% and 91.6%,respectively.The highest qualified rates of disinfectant in use and preserving fluid of sterile medical devices both reached 100%,followed by pressure-steam sterilization（91.7%）,object surface（89.5%）,air（85.9%）,sterilization medical supplies（84.6%）,and hands of medical staff（80.9%）.The total qualified rate of county-level medical institutions was 95.4%,township hospital was 81.3%,private clinic and village clinic was 71.7%,and private hospital was 94.2%.Conclusions The disinfection effects of medical institutions in Changsha County show an increasing tendency,but it still needs to strengthen the disinfection monitoring in object surface,air,sterilization medical supplies,and the hands of medical staff,especially in township hospital,private clinic and village clinic.Hospitals should improve disinfection system,enhance the hardware construction of disinfection and professional training,and improve the control ability of hospital-acquired infections.