医疗机构消毒效果动态观察

目的 监测北京市东城区医疗机构消毒效果,分析消毒工作中存在的问题及解决方式.方法 自2005年1-11月对23所医院、40个联合诊所、63个医务室、26个个体诊所、22个社区卫生站的物体表面、空气、医务人员的手、消毒剂、紫外线灯、压力蒸汽灭菌器进行监测;空气监测采用平皿暴露法;手、物体表面监测采用表面涂抹法;压力蒸汽灭菌效果监测采用生物菌片指示检查法;使用中消毒液污染监测采用悬液定量检查法.结果 不同规模医疗机构、不同监测项目、消毒与灭菌效果不同,差异有统计学意义,与医疗机构规模及经济水平、管理水平、负责消毒人员业务水平相关.结论 应加强对医疗机构医务人员消毒知识的培训,不断提高卫生管理水平和消毒与灭菌的质量.

Disinfection Effectiveness at Medical Care Units in Dongcheng District,Beijing in 2005

OBJECTIVE To monitor disinfection effectiveness at medical care units in Dongcheng District, Beijing, and therefore, analyze the existing problems in the process and how to solve them. METHODS Air monitoring was conducted by means of plate vessel exposure, hands and article inspection by daubing, steamed pressure disinfection by biological-bacterial piece examination and the using disinfection liquid was examined by fixed suspended liquid tests from Jan to Nov 2005. RESULTS After monitoring and inspecting 23 hospitals, 103 clinics, etc, the results showed the disinfection effectiveness was of significant variety. CONCLUSIONS Medical workers should be trained about knowledge related to disinfection and medical management and disinfection control should be strengthened.