2015-2020年广州越秀区医疗机构消毒监测结果分析

Investigation into disinfection monitoring of medical institutions in yuexiu district of guangzhou from 2015 to 2020

目的通过对广州越秀区医疗机构消毒监测结果的分析,及时发现医疗机构消毒过程中存在的薄弱环节,有针对性地提出预防措施,改善医疗场所公共卫生。方法按相关标准和规范每年对辖区内医疗机构进行监测,现场采样并送检。结果2015—2020六年间共监测医疗机构355间,监测样品5789份,总体合格率为95.66%,六年间合格率差异有统计学意义(χ^(2)=29.600,P<0.05)且在95%上下波动。其中手的卫生及紫外线灯合格率水平较低。不同类别医疗机构中市属与区属医疗机构整体合格率差异有统计学意义(χ^(2)=7.543,P<0.05),市属高于区属近1.5个百分点。结论手的卫生是消毒效果监测中发现的薄弱环节,应引起重视。此外针对市属和区属检测结果的不同侧重点也应做出有针对性的整治和监管。应做到医疗机构、从业人员、监管部门三管齐下,方能有效提高消毒效果。

Objective To investigate disinfection monitoring in Yuexiu district in Guangzhou to find out the weak points in time so as to provide targeted remediation and prevention,and eventually improve the public hygiene of the medical facilities.Methods Regularly monitoring to medical institutions was conducted in reference with related standards and regulations by collecting samples on spot and sending them for detection.Results Totally,355 medical institutions were monitored during 2015 to 2020,with 5,789 samples collected and tested in total.The overall qualified rate was 95.03%.The difference in the qualified rate was statistically significant across the years(χ^(2)=29.600,P<0.05),fluctuating around 95%.The qualified rates of hand hygiene and ultraviolet light were lower.The overall qualified rate was significantly different between the medical institutions affiliated to the city and those affiliated to the district(χ^(2)=7.543,P<0.05),the former 1.5 percentages higher than the latter.Conclusion Hand hygiene is the weakest point found in the monitoring process,deserving more attention.Moreover,targeted remediation and supervision should be carried out,targeting the defects found from the monitoring over the medical institutions affiliated to city and district.Only if the three levels of medical institutions,medical staff and supervisors make joint efforts can the disinfection effect be bettered in an effective way.