河口縣各級醫療機構消毒工作調查報告

饒實在　李劍杰

[摘要] 目的 為了解河口縣各級醫療機構消毒工作情況，提高消毒質量，控制醫源性感染并提供相關的科學依據。方法 對河口縣轄區內47家國家辦醫、社會辦醫、個體辦醫各級醫療機構重點科室的醫療環境室內空氣、醫護人員手、物體表面、使用中消毒液、滅菌醫療用品等進行采樣檢測，同時對使用中紫外線燈輻照強度進行了檢測。結果 共采樣524份，檢測樣品524份，檢測率100.00%，其中，超標樣品112份，樣品總平均超標率較高，為21.37%，其中，使用中消毒液超標率最高為51.69%，其次是醫療環境空氣，超標率為32.47%，滅菌醫療用品合格率最高為100.00%。 結論 從該次檢測結果可以看出，醫療機構的消毒質量總平均超標率較高為21.37%，特別是消毒液質量最差，其次是室內空氣質量，說明應重點加強消毒液、室內空氣質量的管理，特別是個體醫療機構的消毒液管理工作，各級醫療機構要加強對空氣消毒設備的更新和維護。

[關鍵詞] 醫療機構；消毒；污染檢測；微生物污染；醫院感染

[中圖分類號] R126.4 [文獻標識碼] A [文章編號] 1672-5654（2018）10（c）-0158-02

Investigation of Disinfection Work of Various Levels of Medical Institutions in Hekou County

RAO Shi-zai， LI Jian-jie

Disease Prevention and Control Center of Hani-Yi Autonomous Prefecture of Honghe，Honghe，Yunnan Province， 661100 China

[Abstract] Objective To understand the disinfection work of medical institutions at all levels in Hekou County， improve the quality of disinfection， control iatrogenic infections and provide relevant scientific evidence. Methods Samples were taken from the medical environment， indoor air， medical staff hands， surface of objects， disinfectant used， and medical supplies in the key departments of medical institutions， medical doctors， and individual medical institutions in the jurisdiction of 47 countries in the district of Hekou County. The detection and the intensity of the ultraviolet light in use were examined. Results Of 524 pieces of samples， 524 pieces of samples were tested， and the test rate was 100.00%， including 112 pieces of samples over standards， and the total average over-standardized rate of samples was higher， accounting for 21.37%， and the over-standards rate of thimerosal was the highest， accounting for 51.69%， and the second was the air in the medical environment， and the over-standardized rate was 32.47%， and the qualified rate of the sterile medical articles was the highest， accounting for 100.00%. Conclusion The test results showed that the total average over-standardized rate of the disinfection quality in the medical institution are the higher， accounting for 21.37%， especially the quality of the thimerosal is the worst， and the second is the air quality in room， which shows that we should especially enhance the management of the thimerosal and room air quality， especially the thimerosal management work of the individualized medical institutions， and various levels of medical institutions should enhance the updating and maintenance of theair sterilization equipment.