常州市医疗机构消毒质量监测分析与对策

Analysis on Disinfection Quality in Medical Institutions and Countermeasures in Changzhou City

目的了解常州市医疗机构消毒质量,探讨医院消毒管理中存在的问题,为提高医院消毒质量,有效预防和控制医院感染提供科学依据。方法采集样品并进行检测,对医疗机构消毒质量进行调查。结果 2011—2013年医疗机构消毒质量监测样品总数为4 343份,各年度监测合格率依次为90.49%、92.19%和91.15%,总合格率为91.27%;3年中市、县、乡镇及以下医疗机构监测合格率依次为93.77%、91.16%和89.11%;各类监测项目中,环境物体表面的合格率最高,为93.38%,口腔综合治疗台水合格率最低,为75.84%。结论常州市医疗机构消毒质量仍存在薄弱环节,应有针对性的深入开展医疗机构消毒质量监测与指导工作。

Objectives To evaluate the quality of disinfection in hospitals in Changzhou city to explore the problems in the administration of hospitals, in order to improve the quality of disinfection and to provide scientific basis for effective prevention and control of nosocomial infection in hospitals. Methods Samples were collected and tested in order to investigate the quality of disinfection in hospitals. Results A total of 4 343 samples were collected from hospitals for surveillance; the total qualified rate was 91.27% , and the qualified rates in 2011, 2012 and 2013 were 90.49%. 92. 19% and 91.15% , respectively. The qualified rates of hospitals in municipal, county, town and village level in these 3 years were 93.77% , 91.16% and 89.11% , respectively. Among all surveillance items, the qualified rate of environmental surfaces was the highest （93.38%） , and the qualified rate of water within the waterline of dental units was the lowest （75.84%）. Conclusions There were still vulnerable spots on the quality of disinfection in hospitals, surveillance and technical guidance on disinfection should be carried out in a deep-going way in hospitals at different levels in Changzhou.