杭州市口腔诊疗机构消毒灭菌现状

目的 了解杭州市口腔诊疗机构硬件设施配备、个人防护、器械消毒灭菌现状。方法针对辖区内各级各类口腔诊疗机构，制作统一检查表，现场填写并现场抽检。结果共检查261所口腔诊疗机构，其中综合医院（口腔科）127所，口腔诊所（门诊部）134所。口腔诊所（门诊部）合理分区及诊疗器械配备满足诊疗工作合格率分别为91．04％、97．叭％，高于综合医院口腔科的73．23％、87．40Voo（分别X^2=14．26，P=0．000；X^2=8．52，P=0．004）；配备有护目镜的综合医院口腔科占被检查单位的79．53％，明显高于口腔诊所（门诊部）的62．69％（X^2=8．96，P=0．003）；医务人员在诊疗活动时进行手消毒或手套一人一换的综合医院口腔科占83．46％，低于口腔诊所（门诊部）的100．00％（X^2=24．09，P=0．000）；综合医院口腔科医务人员手及灭菌物品的抽检合格率分别为71．23％、65．38％，明显高于口腔诊所（门诊部）的54．10％、32，50％（分别X^2=4．21，P=0．004；X^2=9．78，P=0．002）。结论级别不同口腔诊疗机构硬件设施配备、个人防护、器械消毒灭菌质量不同，加强督导至关重要。

Disinfection and sterilization state of institutions of oral cavity treatment in Hanzhou city

Objective To investigate the disinfection and sterilization state of equipment, personal protection and instrument in institutions of oral cavity treatment in Hangzhou city. Methods Questionnaires about all oral institutions in the city were made and filled out, and on-the-spot samples were taken. Results Two hundred and sixty one oral cavity treatment institutions were checked, 127 of which were stomatology departments in general hospitals, 134 were outpatient departments in oral cavity clinics. The qualified rate of rational distribution and supply of medical instrument of oral cavity clinics was 91.04% and 97. 01% respectively, which were higher than 73. 23% and 87. 40% in stomatology departments in general hospitals （X^2 = 14. 26,P = 0. 000;X^2 = 8. 52, P = 0. 004, respectively）; 79. 53% of general hospitals provided goggles, which was higher than 62. 69% in outpatient departments in oral cavity clinics （X^2 = 8. 96, P = 0. 003） ; 83.46% of stomatology departments in general hospitals performed hand washing and changed gloves between patients when medical treatment were undertaken, which was lower than 100. 00% of outpatient departments （X^2 = 24. 09, P = 0. 000）;The qualified rate of hand hygiene of health care workers and sterilized objects in general hospitals was 71.23% and 65.38% respectively, which were higher than 54. 10% and 32. 50% of oral cavity clinics （X^2 = 4. 21, P = 0. 004; X^2 = 9. 78, P = 0. 002, respectively）. Conclusion The disinfection arid sterilization state of oral cavity equipment, personal protection and instruments in different level oral institutions are different, it is important to strengthen the administration.