玉林市红十字会医院消毒质量监测分析研究

目的为进一步提高我院消毒灭菌质量,预防和控制医院感染。方法按GB15982-1995《医院消毒卫生标准》和卫生部2002版《消毒技术规范》对医院供应室、手术室、产房、注射室、治疗室、换药室、内镜室的物体表面及医护人员手、内镜(腹腔镜、胃镜、支气管镜、结肠镜)、压力蒸汽灭菌器和使用中消毒剂等进行随机抽样检测。结果 2009-2011年我院总共抽检样品8 918件,合格8 844件,总合格率99.17%,各年合格率分别为98.53%、99.09%、99.87%。灭菌锅、消毒灭菌物品、物体表面、消毒剂、空气分别为100.00%、100.00%、98.91%、99.85%、99.64%,医护人员手合格率最低为96.66%,外部监测机构显示相同的结果。结论该医院消毒总体质量较好,但医护人员手消毒效果合格率相对较低,应采取进一步提高措施。

Analysis on monitoring of disinfection quality of Yulin Red Cross Hospital

Objective To furtherly improve the quality of disinfection and sterilization in hospital,and prevent and control hospital infection.Method Conduct random sampling test for supply room,operation room,delivery room,therapeutic room,dressing room,injection room,objects’ surfaces in endoscope room,hands of medical staff,endoscopes(laparoscope,gastroscope,bronchoscope and colonoscope),pressure steam sterilizer and disinfectants in use according to Hospital Disinfecting Sanitation Standard(GB15982-1995) and Technical Standards for Disinfection(Edition 2002) of Ministry of Health.Results 8 918 samples were tested in our hospital during 2009-2011,of which,8 844 were qualified and the qualified rate was 99.17%.The qualified rates in the three years were 98.53%,99.09%,99.87% respectively,the qualified rates of autoclave,sterilization articles,object surface,disinfectant and air were 100%,100%,98.91%,99.85%,99.64% respectively,and the qualified rate of hands of staff was more than 96.66%.External monitoring agency also showed the same results.Conclusion The overall disinfection quality of the hospital was good,but qualified rate of hand disinfection was relatively low,so the hospital should take further improvement measures.