李萍, 张端强, 汤晨, 陈伟冬, 曹淦. 2015—2017年常州市武进区医疗机构消毒质量监测结果分析[J]. 环境卫生学杂志, 2020, 10(2): 155-159. DOI: 10.13421/j.cnki.hjwsxzz.2020.02.012
    引用本文: 李萍, 张端强, 汤晨, 陈伟冬, 曹淦. 2015—2017年常州市武进区医疗机构消毒质量监测结果分析[J]. 环境卫生学杂志, 2020, 10(2): 155-159. DOI: 10.13421/j.cnki.hjwsxzz.2020.02.012
    LI Ping, ZHANG Duanqiang, TANG Chen, CHENG Weidong, CAO Gan. Disinfection Quality Monitoring of Medical Institutions in Wujin District, Changzhou, Jiangsu Province, 2015 and 2017[J]. Journal of Environmental Hygiene, 2020, 10(2): 155-159. DOI: 10.13421/j.cnki.hjwsxzz.2020.02.012
    Citation: LI Ping, ZHANG Duanqiang, TANG Chen, CHENG Weidong, CAO Gan. Disinfection Quality Monitoring of Medical Institutions in Wujin District, Changzhou, Jiangsu Province, 2015 and 2017[J]. Journal of Environmental Hygiene, 2020, 10(2): 155-159. DOI: 10.13421/j.cnki.hjwsxzz.2020.02.012

    2015—2017年常州市武进区医疗机构消毒质量监测结果分析

    Disinfection Quality Monitoring of Medical Institutions in Wujin District, Changzhou, Jiangsu Province, 2015 and 2017

    • 摘要:
      目的 针对常州市武进区2015—2017年各级医疗机构消毒工作情况。
      方法 根据《常州市医疗机构消毒质量监测方案》对武进区28家医疗机构的室内空气等12类项目进行现场调查和环境卫生学样品采集并评价。
      结果 共采集室内空气等12类项目样品3 355份,监测结果显示样品2015—2017年平均合格率为93.7%(3 144/3 355),12类样品各年份之间的合格率存在差异(χ2=17.0,P < 0.01),其中卫生手、外科手、内窥镜、紫外线和口腔水三年平均合格率略低,分别为78.4%(337/430)、92.7%(203/219)、88.2%(135/153)、93.9%(293/312)和83.3%(130/156)。2015—2017年二级及以上医疗机构的监测合格率分别是98.3%(460/468)、94.1%(444/472)和96.1%(367/382),均高于相应一级医疗机构。
      结论 建议采取加强管理和提高院感专业技术等多举措并行,进一步提高常州市武进区各级医疗机构消毒质量。

       

      Abstract:
      Objective To investigate the disinfection quality of medical institutions at all levels in Wujin District, Changzhou, Jiangsu Province from 2015 to 2017.
      Methods According to the Disinfection Quality Monitoring Program for Medical Institutions in Changzhou, a field investigation was conducted for 12 items including indoor air in 28 medical institutions of Wujin District, and samples were collected for disinfection quality evaluation using methods of environmental hygiene.
      Results A total of 3 355 samples of 12 items were collected. The mean pass rate of samples was significantly different between 2015, 2016, and 2017 (χ2=17.0, P < 0.01), and the overall mean pass rate during the three years was 93.7% (3 144/3 355). Among the 12 items, there were slightly lower overall mean pass rates for hygienic hands, surgical hands, endoscopes, ultraviolet, and dental water, being 78.4% (337/430), 92.7% (203/219), 88.2% (135/153), 93.9% (293/312), and 83.3% (130/156), respectively. The pass rates of secondary or higher-level medical institutions in 2015, 2016, and 2017 were 98.3% (460/468), 94.1% (444/472), and 96.1% (367/382), respectively, all higher than those of primary medical institutions.
      Conclusion It is necessary to take multiple measures including strengthening management and improving nosocomial infection control techniques to further increase the disinfection quality of medical institutions at all levels in Wujin District of Changzhou.

       

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