2020—2023年不同等级医院医务人员手卫生和物体表面消毒质量的监测分析

Surveillance and analysis of hand hygiene of medical staff and surface disinfection in different level of hospitals,2020-2023

目的了解不同等级医院医务人员手卫生和物体表面消毒质量状况,为加强医院消毒质量控制提供依据。方法选择南宁市有代表性的三级、二级和一级医院各1家作为哨点医院,采集医务人员手及物体表面样品,检测菌落总数,评价消毒质量。结果2020—2023年共采集医务人员手卫生消毒样品206份,合格133份,总合格率64.56%。三级医院的合格率为65.38%(51/78),二级医院为77.33%(58/75),一级医院为45.28%(24/53)。外科手消毒和卫生手消毒的样品合格率分别为100.00%(50/50)和53.21%(83/156),护理人员的卫生手消毒合格率(59.21%)高于医生的手卫生合格率(47.50%)。共采集物体表面消毒样品302份,合格率96.69%(292/302),不合格样品主要为诊疗仪器设备表面和门诊诊疗区物体表面。结论哨点医院物体表面消毒质量较好,医务人员手卫生合格率偏低,需提高医务人员的手卫生行为和质量水平,降低交叉感染的风险。

Objective To figure out the disinfection status of hand hygiene of medical staff and object surface in different level of hospitals,so as to provide basis for strengthening the quality control of hospital disinfection.Methods A tertiary,a secondary and a primary representative hospital were selected as sentinel hospitals and monitored in Nanning.The samples of hand hygiene of medical staff and object surface were collected to detect the total number of colonies,the disinfection quality was evaluated.Results A total of 206 hand hygiene samples of medical staff were collected during 2020-2023,with a qualified rate 64.56%.The qualified rate for the tertiary,secondary and primary hospital was 65.38%(51/78),77.33%(58/75),45.28%(24/53),respectively.The qualified rate for surgical hand hygiene and hygienic hand disinfection was 100.00%(50/50)and 53.21%(83/156),respectively.The qualified rate for nursing staff(59.21%)was slightly higher than that of the doctors’(47.50%).Besides,a total of 302 surface samples were collected,the qualified rate was 96.69%(292/302),and the unqualified samples were mainly on the surfaces of medical instruments and equipment and in the outpatient diagnosis and treatment area.Conclusion The disinfection quality of object surface in sentinel hospitals was high,but the qualified rate of hand hygiene among medical staff was low.It is necessary to improve the hand hygiene behavior and quality of medical staff,to reduce the risk of cross infection.