<b>2018</b>—<b>2020</b>年上海市杨浦区医疗机构消毒质量监测结果分析

刘杨; 陆晓燕; 胡晶晶; 纵利利; 田靓

doi:10.19428/j.cnki.sjpm.2022.20923

2018—2020年上海市杨浦区医疗机构消毒质量监测结果分析

Monitoring and analysis of disinfection quality in clinical institutions in Yangpu District， Shanghai in 2018‒2020

摘要

摘要:
目的了解上海市杨浦区医疗机构的消毒质量现状及其存在的问题，为提高医疗机构的医院感染控制提供科学依据。
方法 2018—2020年对杨浦区各级医疗机构内医疗器械、使用中消毒剂、血透室透析水、空气、物体表面、灭菌设备、工作人员的手、口腔治疗水、污水进行采样检测。
结果 3年共采集样品1 420件，总合格率为88.52%。其中，二三级医疗机构、一级医疗机构、私立民营机构合格率分别为94.86%、90.22%、75.74%，差异有统计学意义（χ²=95.01，P<0.01）。灭菌设备、空气和透析水合格率均为100.00%，医疗器械、物体表面、工作人员的手、使用中消毒剂、口腔治疗水和污水的合格率分别为98.28%、97.63%、95.05%、93.39%、54.71%和50.00%。
结论上海市杨浦区医疗机构整体消毒质量较好，私立民营医疗机构合格率较低，口腔治疗水和医院污水较为薄弱，需进一步加强管理和监测工作。

Abstract:
Objective To determine the current disinfection quality and understand existing problems in clinical institutions in Yangpu District， and provide scientific evidence for improving hospital infection control.
Methods From 2018 to 2020， the specimens were collected from medical instruments， disinfectant in use， dialysis water in hemodialysis rooms， air， surface of objects， sterilization equipment， hands of medical staff， dental therapy water and sewage in clinical institutions in Yangpu District， and then examined for disinfection quality.
Results A total of 1 420 samples were collected consecutively in 3 years， in which the total qualified rate was determined to be 88.52%. The qualified rates in secondary and tertiary hospitals， primary health centers， and private clinics were 94.86%， 90.22% and 75.74%， respectively， with a significant difference （χ²=95.01， P<0.01）. The qualified rates in sterilization equipment， air， and dialysis water were all 100.00%； in contrast， the rates in medical instruments， surface of objects， hands of medical staff， disinfectants in use， dental therapy water， and sewage were 98.28%， 97.63%， 95.05%， 93.39%， 54.71% and 50.00%， respectively.
Conclusion Overall disinfection quality remains good in clinical institutions in Yangpu District of Shanghai， whereas the quality in private clinics is low. In addition， dental therapy water and hospital sewage might be susceptible to contamination， which warrants further improvement in the disinfection and monitoring.

HTML全文

参考文献(18)

施引文献

资源附件(0)