南通市足浴场所卫生状况分析及应对措施探讨

目的：了解南通市足浴行业卫生现状,以提高行业卫生水平,探索长效监管措施,促进足浴行业规范化,保护消费者健康。方法：采用现场调查和抽样检测的方法,对南通市卫生监督所监管的92家足浴场所进行调查和分析。结果：现场调查显示,南通市足浴场所有效卫生许可证持证率97.8%,卫生操作规程、卫生管理人员培训和从业人员消毒培训方面合格率较低,分别为46.7%、44.6%和39.1%。功能间布局和卫生设施设备配置合格率分别为57.6%和55.4%。样品监测显示：毛巾和足浴盆的合格率较高,分别为79.7%和79.4%,其次为茶具、足浴水、从业人员手,分别为68.9%、68.3%、65.8%,拖鞋和修脚工具监测合格率较低,分别为52.8%和51.4%。结论：南通市足浴场所的整体卫生状况堪忧,尤其是中、小型足浴场所在卫生管理制度和消毒措施的落实、功能间布局、卫生设施配置等方面存在的问题较突出,导致拖鞋、修脚工具等公共用品用具的监测合格率不高,根据调查结果,结合卫生监管实际,建议通过加强预防性和经常性卫生监督、完善卫生管理体系、提高从业人员卫生意识、落实消毒操作规程等综合措施来建立长效监管机制,有效防止疾病传播,保障消费者健康。

Analysis on the health status and countermeasures of foot bath places in Nantong City

Objective： To understand the current situation of foot bath industry,improve the sanitary level of this industry,explore the long-term regulatory measures,try to standardize the foot bath industry and protect the health of customers. Methods： With a combination of field investigation and sampling inspection,92 foot care places which are under the supervision of Health Supervision of Nantong were studied and analyzed. Results： According to the field investigation,97. 8% of the foot bath places were licensed. The rates were lower in operating process,training employees who were in charge of managing health and disinfection. The rate was 46. 7%,44. 6% and39. 1% accordingly. The rate of proper functional layout was 57. 5% and another rate in required health facilities was 55. 4%. According to the samples,the passing rates of towels and foot bath basins were higher（ 79. 7%,79. 4）. Tea sets,foot bath water and employees’ hands’ passing rates were followed 68. 9%,68. 3% and 65. 8%）.The passing rates in slippers and the supervision of pedicure tools were lower（ 52. 8% and 51. 4%）. Conclusion：The whole sanitary condition of foot bath places in Nantong should be seriously worried,especially for those middlesized and small-sized foot bath places which have huge problems in sanitary management system,the ability to carry out disinfection measures,functional layout and sanitary facilities. Those existing problems bring down the passing rate of slippers and pedicure tools. With regard to the investigation result,taking current situation of sanitary supervision into consideration,it is highly suggested that sanitary supervision be more preventative and frequent,the sanitary management system more completed,the awareness of health be improved for employees and long-term managing system be set in terms of disinfection measures. Only in this way,health can be protected and disease could be stopped from spreading.