医院消毒灭菌工作中存在的问题及管理对策

Existing Problems and Managing Countermeasures of Disinfection and Sterilization in Hospitals

目的 根据消毒灭菌工作中存在的问题 ,探讨其管理对策。方法 对不同地区、不同类型和级别的医院开展调查。结果 消毒灭菌工作存在一些突出的共性问题 ,主要是医院领导不重视 ,使用人员消毒灭菌知识欠缺、观念落后 ,消毒灭菌方法选择不当 ,消毒剂应用不合理 ,消毒灭菌后物品被再次污染 ,消毒灭菌效果的监测不规范等。结论 消毒灭菌工作仍是医院感染管理工作中的一个薄弱环节 。

OBJECTIVE To probe into the managing countermeasures according to the existing problems of disinfection and sterilization(DS).METHODS The data come from National investigation of nosocomial infection(NI) organized by Department of Medical Administration,Ministry of Public Health at 18 hospitals in 6 Provinces and from survey of NI at hospitals in Beijing.RESULTS There are general problems of DS in hospitals.Such as the managers of hospital don′t pay attention to DS,the users are short of knowledge and their thoughts are outdated,selection of methods is not suitable,applying of disinfectant isn′t reasonable,articles of DS are polluted again and surveillance of DS is not standard, etc.CONCLUSIONS The work of DS is still poor and must be strengthened for preventing and controlling NI.