摘要
目的 了解安徽省三家不同级别医疗机构消毒质量现状.方法 于 2019-2021 年对选择的安徽省内市级医院、县级医院、乡镇卫生院三家不同级别医疗机构,每个季度监测其重点科室的医疗器械清洗效果、软式内镜、灭菌器、手术室人员外科手、医务人员卫生手、手术室空气、重点科室物体表面、医疗用水的采样结果,依据国家标准进行评估并分析.结果 2019-2021 年共检测市级医院、县级医院、乡镇卫生院三家不同级别医疗机构软式内镜、灭菌器等 8 类样本 2 033 份,消毒质量监测总合格率为 82.98%(1 687/2 033),3 年间合格率差异具有统计学意义(χ2 =15.83,P<0.001).不同监测项目中,医疗器械清洗效果、医务人员卫生手合格率较低,分别为 74.24%(490/660),65.31%(224/343).不同级别医疗机构消毒质量监测合格率差异也具有统计学意义(χ2 = 74.47,P<0.001),二级及以上的医疗机构合格率分别为 89.36%(655/733)、85.45%(611/715),均高于一级医疗机构的合格率.结论 安徽省医疗机构消毒质量总体呈上升趋势,但不同级别医疗机构之间存在差距.
Abstract
Objective To investigate the current situation of disinfection quality in three medical institutions of different levels in Anhui Province,China.Methods From 2019 to 2021,three medical institutions of the city,county,and township levels in Anhui Province were selected for quarterly monitoring of disinfection quality.The indicators included cleaning quality of medical instruments,flexible endoscope,sterilizers,surgical hands of operating room personnel,hygiene hands of healthcare workers,air in operating room,surface of objective,and sampling result of medical water in key departments.The result were evaluated and analyzed according to na-tional standards.Results From 2019 to 2021,a total of 2 033 samples of 8 types such as flexible endoscopes and sterilizers were test-ed in three medical institutions at the levels of city,county,and township.The overall qualified rate of disinfection quality monitoring was 82.98%(1687/2033),and the difference in qualified rates between the three years was statistically significant(χ2 =15.83,P<0.001).Among the indicators,the qualified rates of cleaning quality of medical devices and hygiene hand of healthcare workers were relatively low,which were 74.24%(490/660)and 65.31%(224/343),respectively.The qualified rates of disinfection quality mo-nitoring also showed significant differences between different levels of medical institutions(χ2 =74.47,P<0.001).The qualified rates of secondary and tertiary medical institutions were 89.36%(655/733)and 85.45%(611/715),respectively,both higher than the qualified rate of primary medical institution.Conclusion The disinfection quality of medical institutions in Anhui Province has been improved over the years,but there are gaps in disinfection quality between medical institutions of different levels.
基金项目
中国疾病预防控制中心全国医院消毒与感染控制监测项目(1311500010806)
万方数据