河口县各级医疗机构消毒工作调查报告

饶实在　李剑杰

[摘要] 目的 為了解河口县各级医疗机构消毒工作情况，提高消毒质量，控制医源性感染并提供相关的科学依据。方法 对河口县辖区内47家国家办医、社会办医、个体办医各级医疗机构重点科室的医疗环境室内空气、医护人员手、物体表面、使用中消毒液、灭菌医疗用品等进行采样检测，同时对使用中紫外线灯辐照强度进行了检测。结果 共采样524份，检测样品524份，检测率100.00%，其中，超标样品112份，样品总平均超标率较高，为21.37%，其中，使用中消毒液超标率最高为51.69%，其次是医疗环境空气，超标率为32.47%，灭菌医疗用品合格率最高为100.00%。 结论 从该次检测结果可以看出，医疗机构的消毒质量总平均超标率较高为21.37%，特别是消毒液质量最差，其次是室内空气质量，说明应重点加强消毒液、室内空气质量的管理，特别是个体医疗机构的消毒液管理工作，各级医疗机构要加强对空气消毒设备的更新和维护。

[关键词] 医疗机构；消毒；污染检测；微生物污染；医院感染

[中图分类号] R126.4 [文献标识码] A [文章编号] 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.