霍山县2010-2011年医疗机构消毒质量监测结果分析

Analysis of monitoring results of disinfection effects in medical units from 2010 to 2011 in Huoshan County

目的：分析霍山县2010~2011年医疗机构消毒质量情况，找出消毒工作存在的问题，为预防和控制医源性感染提供依据。方法：依据卫生部《消毒技术规范》、《医疗消毒卫生标准》和《消毒与灭菌效果的评价方法与标准》，对20家医疗机构采集的空气、物体表面、医护人员手、使用中消毒液、高压蒸汽灭菌、紫外线照度样品共计285份，通过检测，评价消毒效果。结果：285份样品中合格228份，总合格率80%，不同样本监测合格率分别为空气合格率58.54％，操作台面合格率72.73％，医护人员手合格率73.77％，使用中消毒液合格率98.21％，高压蒸汽灭菌合格率90.00％，紫外线照度合格率87.50％。结论：应加强手术室空气消毒工作，医护人员手和操作台面是今后消毒工作的重点，要经常开展医务人员消毒知识培训，定期监督检查，提高消毒质量。

Objective：To analyze monitoring results of disinfection quality situation from 2010-2011 in Huoshan, find out the problems existing in medical unit and put forward some measures to prevent or control the nosocomial in-fection. Methods：Disinfection effect was randomly monitored and evaluated according to the Ministry of Health＂Technical Standard for Disinfection（2002）＂,＂Hygienic Standard for Disinfection in Hospitals＂（GB15982-1995）and＂Evaluation Method and Standard for the Efficacy of Disinfection and sterilization＂（GB15981-1995）. A total of 285 samplings from air, surface of objects, hands of medical staff, disinfectant being used, sterilization of medical supplies, pressure seam sterilizer and UV lamp were collected in 20 medical institutions. After detection, we evaluated the dis-infection effects. Results： In 285 samplings, qualified 228,the passing rate of 80%. qualified rate of monitor different sample types：the qualified rate of air passing rate of 58.54%, hands of medical staff qualified rate 73.77%, operation table 72.73% pass rate, disinfectant solution in use rate of 98.21% qualified, a pass rate of 90% high pressure sterilizer, UV illumination 87.50% pass rate. Conclusion：We should strengthen the operation room air disinfection work, hands of medical staff and the operation table are also the focus of disinfection work in the future Regular training on disinfection knowledge among medical staff, and regular supervision and inspection are the key to improving the quality of disinfection.