2016-2018年西安市医疗机构消毒剂有效含量监测结果分析

Analysis of monitoring results of effective content of disinfectants in medical institutions in Xi’an from 2016 to 2018

目的分析西安市医疗机构两种消毒剂有效含量监测数据,了解医疗机构外环境物体表面和医疗器械消毒工作质量。方法按照2002年版《消毒技术规范》要求,采用滴定法对含氯消毒剂和20 g/L碱性戊二醛消毒剂进行有效含量测定。结果 3年共采样345份,总合格率为79. 42%,2016-2018年合格率分别为69. 70%、80. 00%和88. 12%。20 g/L碱性戊二醛和含氯消毒剂合格率分别为89. 29%和77. 51%;三级、二级和其他级别医疗机构合格率分别为87. 14%、81. 12%和68. 35%;不同类型医疗机构中,私立医疗机构消毒剂合格率最低,为62. 62%。结论含氯消毒剂有效含量合格率偏低,医疗机构应重点落实消毒剂配置、使用工作;监管部门应加强对二级以下医疗机构及私立医疗机构的院内感染控制工作的监管。

Objective To analyze the monitoring data of the effective content of two disinfectants in medical institutions in Xi’an,and to understand the quality of disinfection work on the external environment object surfaces and medical devices in medical institutions. Method According to the requirements of the Technical Standard for Disinfection 2002 Edition,titration method was used to determine the effective content of chlorine-containing disinfectant and 20 g/L alkaline glutaraldehyde disinfectant. Result A total of 345 samples were collected in 3 years,with a total pass rate of 79. 42%,and the qualified rates in 2016-2018 were 69. 70%,80. 00% and 88. 12%,respectively. The qualified rates of 20 g/L alkaline glutaraldehyde and chlorine-containing disinfectants were 89. 29% and 77. 51% respectively;the qualified rates of tertiary,secondary and other medical institutions were 87. 14%,81. 12% and 68. 35%;in different types of medical institutions,the qualified rate of disinfectants in private medical institutions is the lowest,which is 62. 62%. Conclusion The qualified rate of effective content of chlorine-containing disinfectant is relatively low,and medical institutions should focus on the allocation and use of disinfectants. Supervisory departments should strengthen the supervision of nosocomial infection control in medical institutions below the second level and private medical institutions.