北京市密云区医疗机构消毒质量监测分析

Monitoring and Analysis of Disinfection Quality in Medical Institutions in Miyun District,Beijing

目的了解北京市密云区医疗机构消毒质量状况,探索消毒监测中存在的问题,为卫生行政部门监督提供依据,进一步提高医疗机构消毒工作质量。方法采用现场采样和实验室检测的方法,对密云区营利性和非营利性医疗机构的不同消毒卫生处理对象消毒灭菌情况监测数据进行汇总分析。结果2014—2019年共监测采样4982件,检测合格4974件,总平均合格率为99.8%;其中,营利性医疗机构采样1623件,合格率为99.8%;非营利性医疗机构采样3359件,合格率为99.9%。各监测项目中,医护人员手、使用中的消毒剂、压力蒸汽灭菌器、紫外线灯辐射强度平均合格率为100.0%,其他监测项目平均合格率从高到低依次是:物体表面99.9%、室内空气99.7%、污水99.1%、医疗用品96.4%。结论北京市密云区医疗机构消毒质量合格率总体较高且稳定,非营利性医疗机构监测项目总体消毒合格率低于营利性医疗机构,对于存在消毒质量问题情况需重点加强管理进一步改进和提高。

Objective To understand the disinfection quality of medical institutions in Miyun District,Beijing,and to explore the problems in disinfection monitoring.Provide a basis for the supervision of health administrative departments and further improve the quality of disinfection work in medical institutions.Methods Using the methods of on-site sampling and laboratory testing,the monitoring data of disinfection and sterilization of different disinfection and sanitation treatment objects in the for-profit and non-profit medical institutions in Miyun District were summarized and analyzed.Results A total of 4982 samples were monitored and sampled from 2014 to 2019,and 4974 were qualified,with a total average pass rate of 99.8%.Among them,for-profit medical institutions sampled 1623 samples,with a pass rate of 99.9%.Non-profit medical institutions sampled 3359 samples,with a pass rate of 99.9%.In each monitoring item,the average pass rate of the medical staff's hands,the disinfectant in use,the pressure steam sterilizer,and the radiation intensity of the ultraviolet lamp were 100.0%.The arerage pass rates of other monitoring items from high to low were:99.9%of the surface of the object,99.7%of the indoor air,99.1%of the sewage,and 96.4%of the medical supplies.Conclusion The disinfection quality qualification rate of medical institutions in Miyun District of Beijing is generally high and stable.The overall disinfection qualification rate of non-profit medical institution monitoring projects is lower than that of for-profit medical institutions.For the existence of disinfection quality problems,it is necessary to strengthen management and further improvement.