四平市2015~2017年《全国医院消毒与感染控制监测项目》数据总结分析

Data collection and analysis of the《national hospital disinfection and infection control monitoring project》in Siping from year 2015 to 2017

目的通过对四平市2015~2017年《全国医院消毒与感染控制监测项目》的数据分析,了解四平市医疗机构消毒与感染控制质量,进而分析医源性感染存在的风险,为该市医源性感染防治策略的指定提供依据。方法依托《全国医院消毒与感染控制监测项目》,2015~2017年系统地对四平市三家不同级别的监测点医院进行了监测。采样项目包括医疗器械清洗效果、内镜、压力蒸汽灭菌器、外科手、卫生手、手术室空气、重点科室一般物体表面、口腔科用水及卫生手的依从性。结果2015~2017年共采样1747份样品,其中合格1218份合格,合格率为69.72%。其中,各年的合格率依次为68.63%,69.76%和70.75%,差异无统计学意义(χ2=0.619,P=0.734)。医疗器械清洗效果(放大镜法)合格率为86.46%、内镜合格率为66.10%、压力蒸汽灭菌器合格率为100.00%、外科手合格率为92.50%、卫生手合格率为53.53%、手术室空气合格率为87.50%、重点科室一般物体表面合格率为49.08%、口腔科用水的合格率为80.95%,卫生手的依从性监测到无卫生手措施的比例为60.63%。结论四平市医院消毒质量与感染控制平均水平较低,存在的问题较多,亟需提高。

Objective To understand the quality of disinfection and infection control in medical institutions in Siping by analyzing the data of the National Hospital Disinfection and Infection Control Monitoring Project from year 2015 to 2017,to further analyze the risks of iatrogenic infection,and to provide the basis for the formation of the iatrogenic infection control strategy.Methods Based on the national hospital disinfection and infection control monitoring project,three hospitals at different levels in Siping were systematically monitored from year 2015 to 2017.Sampling items included medical equipment washing effects,endoscopes,steamed sterilizers,surgical hands,sanitary hands,operating room air,general object surfaces in key departments,water for stomatology and compliance with sanitary hands.Results A total of 1,747 samples were collected from year 2015 to 2017,of which 1,218 were qualified,and the pass rate was 69.72%.Among them,the pass rate of each year was 68.63%,69.76%,and 70.75%respectively,and the differences were not statistically significant(χ2=0.619,P=0.734).The pass rate of medical equipment washing effect(magnifying glass method)was 86.46%,the endoscope was 66.10%,the steamed sterilizer was 100.00%,the surgical hand was 92.50%,the hygienic hand was 53.53%,the operating room air was 87.50%,the general object surface of key departments was 49.08%,the water for stomatology was 80.95%,and the compliance rate of hygienic hands was 60.63%.Conclusion The average level of disinfection quality and infection control in the hospital of Siping is low.They were challenged by many problems,which need to be improved.