2019—2022年桐乡市县镇两级医院消毒质量监测结果分析

Analysis of disinfection quality monitoring results in county-level and township hospitals in Tongxiang city from 2019 to 2022

目的了解桐乡市2019—2022年县镇两级医院消毒质量状况,为进一步加强医院消毒和感染控制提供依据。方法抽取该市10家县镇级医院,按照GB 15982—2012《医院消毒卫生标准》实施现场采样,检测并分析两级医院不同监测项目的消毒质量。结果2019—2022年共采集样品664份,总合格率为93.98%,各年份合格率依次为91.91%、99.26%、95.38%和91.63%,差异有统计学意义(χ^(2)=10.682,P<0.05)。县级医院消毒质量合格率高于镇级医院(97.60%vs 91.13%;χ^(2)=12.110,P<0.05)。监测项目中,使用中消毒液和灭菌器灭菌效果合格率最高,均为100.00%;其次为医护人员手卫生、室内空气、医院污水和物体表面消毒效果,合格率均>97.00%;合格率最低为诊疗用水,仅为80.00%。镇级医院无菌物品和诊疗用水合格率均<73.00%,明显低于县级医院(χ^(2)=4.438和5.198,P<0.05)。结论桐乡市县镇两级医院消毒质量合格率整体较高,但仍存在薄弱环节,县级医院仍需提高无菌物品和诊疗用水消毒管理水平。

Objective To know the disinfection quality status of county and town hospitals in Tongxiang from 2019 to 2022,and to provide a basis for strengthening hospital disinfection and infection control.Methods Ten hospitals of county and town were drawn.According to the standards of GB 415982—2012“Hospital Disinfection and Sanitation Standards”,on-site samplings were used to detect and evaluate the quality of disinfection of different projects.Results From 2019 to 2022,a total of 664 samples were collected,with a total pass rate of 93.98%.The qualification rate of disinfection quality in each year was 91.91%,99.26%,95.38%and 91.63%,respectively.The difference was statistically significant(χ^(2)=10.682,P<0.05).The qualified rate of disinfection quality in county hospitals was higher than that in town hospitals(97.60%vs 91.13%;χ^(2)=12.110,P<0.05).The highest qualification rates of each monitoring project were the disinfection in usingand sterilization effect of sterilizer(100%),followed by hand hygiene of medical staff,indoor air microorganisms,hospital sewage,surface disinfection effectwhich were above 97.00%.The lowest was diagnosis and treatment water,only 80.00%.The qualification rate of diagnosis and treatment water and sterillized articles<73%in town hospital,which was significant lower than county hospitals(χ^(2)=4.438 and 5.198,P<0.05).Conclusion The quality of disinfection in Tongxiang medical institutions is high,but there are still weak disinfection links,and county hospitals need to improve the level of disinfection management.