乌鲁木齐市2014-2016年基层医疗机构消毒质量分析
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摘要
目的了解乌鲁木齐市2014-2016年基层医疗机构消毒工作现状,为加强全市消毒工作管理提供依据。方法按照《医院消毒卫生标准》GB 15982-2012、《医疗机构消毒技术规范》WS/T 367-2012等标准规范,采用现场采样和实验室检测方法对基层医疗机构的消毒效果进行检测。结果 2014-2016年全市基层医疗机构消毒监测总合格率在82.7%~84.8%之间,差异无统计学意义。2014年与2015、2016年相比,压力灭菌器合格率差异有统计学意义(χ2=21.9、P<0.01,χ2=21.7、P<0.01),紫外线灯辐照强度合格率差异有统计学意义(χ2=48.8、P<0.01,χ2=49.1、P<0.01),中度危险性医疗用品合格率差异有统计学意义(χ2=15.9、P<0.01,χ2=22.7、P<0.01);2015年与2016年相比,口腔治疗用水合格率差异有统计学意义(χ2=15.9、P<0.01);2014年卫生院(室)与一级医疗机构、社区卫生服务中心相比合格率差异有统计学意义(χ2=6.4、P<0.01,χ2=22.2、P<0.01),2015年卫生院(室)与一级医疗机构、社区卫生服务中心相比合格率差异有统计学意义(χ2=5.3、P<0.05,χ2=7.7、P<0.01),2016年卫生院(室)与诊所、社区卫生服务中心相比合格率差异有统计学意义(χ2=10.1、P<0.01,χ2=11.3、P<0.01)。结论乌鲁木齐市基层医疗机构消毒工作相对稳定,在部分项目上存在薄弱环节,需加强消毒意识,提高消毒质量。
Objective To understand the status of disinfection work in basic medical institutions in Urumqi,to provide the basis for strengthening the management of disinfection work. Methods The disinfection efficacy of primary medical institutions was detected by GB 15982-2012,WS/T 367-2012,etc. Results The total qualified rate of disinfection monitoring in the primary medical institutions of the city 2014-2016 between 82. 7% ~ 84. 8%,there is no statistically significant difference. There is statistically significant difference from 2014 to 2015( χ2= 21. 9,P < 0. 01) and 2014 to 2016( χ2= 21. 7,P < 0. 01) on pressure sterilizer. There is statistically significant difference from 2014 to 2015( χ2= 48. 8,P < 0. 01) and 2014 to 2016( χ2= 49. 1,P <0. 01) on ultraviolet light irradiation intensity. There is statistically significant difference between 2014 to 2015( χ2= 15. 9,P <0. 01) and 2014 to 2016( χ2= 22. 7,P < 0. 01) on moderate risk medical supplies. There is statistically significant difference between 2015 to 2016( χ2= 15. 9,P < 0. 01) on oral treatment water; there is statistically significant difference between Township Health Center to First-level medical institutions and Community Health Service Center( χ2= 6. 4,P < 0. 01,χ2= 22. 2,P <0. 01) in 2014. There is statistically significant difference between Township Health Center to First-level medical institutions and Community Health Service Center( χ2= 5. 3,P < 0. 05,χ2= 7. 7,P < 0. 01) in 2015. There is statistically significant difference between Township Health Center to Clinic and Community Health Service Center( χ2= 10. 1,P < 0. 01,χ2= 11. 3,P < 0. 01) in2016. Conclusion The disinfection work of basic medical institutions in Urumqi is relatively stable,there are weak spots in some projects,and need to strengthen disinfection consciousness and improve disinfection quality.
Objective To understand the status of disinfection work in basic medical institutions in Urumqi,to provide the basis for strengthening the management of disinfection work. Methods The disinfection efficacy of primary medical institutions was detected by GB 15982-2012,WS/T 367-2012,etc. Results The total qualified rate of disinfection monitoring in the primary medical institutions of the city 2014-2016 between 82. 7% ~ 84. 8%,there is no statistically significant difference. There is statistically significant difference from 2014 to 2015( χ2= 21. 9,P < 0. 01) and 2014 to 2016( χ2= 21. 7,P < 0. 01) on pressure sterilizer. There is statistically significant difference from 2014 to 2015( χ2= 48. 8,P < 0. 01) and 2014 to 2016( χ2= 49. 1,P <0. 01) on ultraviolet light irradiation intensity. There is statistically significant difference between 2014 to 2015( χ2= 15. 9,P <0. 01) and 2014 to 2016( χ2= 22. 7,P < 0. 01) on moderate risk medical supplies. There is statistically significant difference between 2015 to 2016( χ2= 15. 9,P < 0. 01) on oral treatment water; there is statistically significant difference between Township Health Center to First-level medical institutions and Community Health Service Center( χ2= 6. 4,P < 0. 01,χ2= 22. 2,P <0. 01) in 2014. There is statistically significant difference between Township Health Center to First-level medical institutions and Community Health Service Center( χ2= 5. 3,P < 0. 05,χ2= 7. 7,P < 0. 01) in 2015. There is statistically significant difference between Township Health Center to Clinic and Community Health Service Center( χ2= 10. 1,P < 0. 01,χ2= 11. 3,P < 0. 01) in2016. Conclusion The disinfection work of basic medical institutions in Urumqi is relatively stable,there are weak spots in some projects,and need to strengthen disinfection consciousness and improve disinfection quality.
引文
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[12]宋丽华,冯希琴,熊世凤.乌鲁木齐市天山区178家医疗机构消毒质量监测结果分析[J].疾病预防控制通报,2015,30(4):41-42.
[13]陈建勇,段可佳,许黎.长沙市医疗机构口腔治疗用水干预前后监测情况调查分析[J].实用预防医学,2015,22(9):1124-1125.
[14]徐江,郑军,梁玉霞,等.石河子市医院口腔科及口腔诊所消毒效果现状调查[J].中华医院感染学杂志,2014,24(8):2058-2059.
[15]罗直智,董玉颖,王艳,等.过氧化氢与含氯消毒剂对口腔综合治疗台水消毒效果与污染状况调查[J].中国消毒学杂志,2015,32(6):545-546.
[2]陈伟文,罗娘胡,黄淑仪,等.2014年深圳市坪山新区医疗机构消毒质量监测分析[J].应用预防医学,2015,21(6):445-446.
[3]陈联宏,马艳,阿依肯,等.昌吉市基层医疗机构消毒质量监测[J].中国消毒学杂志,2012,29(11):1023-1024.
[4]张丽丽,丛勉杰,丛晓平.2010-2014年威海市基层医疗机构消毒灭菌效果监测[J].预防医学论坛,2015,21(9):708-709.
[5]陈祖毅,黄育红,陈路瑶,等.福建省2015年医疗机构消毒质量监测分析[J].海峡预防医学杂志,2016,22(6):56-57.
[6]王慧琴.宁夏中卫市某区基层医疗机构消毒监测结果[J].中国消毒学杂志,2014,31(11):1213-1214.
[7]王广力,刘义,王铁强,等.深圳市光明新区2010-2014年医疗机构消毒效果监测情况分析[J].医学动物防制,2016,32(7):796-798.
[8]何飞,陈胤忠,朱海波,等.江苏省盐城市盐都区2012-2013年医疗机构消毒效果监测[J].上海预防医学,2015,27(7):416-417.
[9]于明明,徐斌.2012-2014年潍坊市各级医疗机构消毒效果监测分析[J].中国消毒学杂志,2016,33(8):756-757,760.
[10]潘峰,赵丽,陈军宏,等.2009-2013年运城市医疗机构消毒灭菌质量监测[J].预防医学论坛,2015,21(6):467-468.
[11]郭伟超,杨新义,徐学军,等.三氧消毒机与紫外线对空气消毒效果比较[J].中国消毒学杂志,2013,30(5):486.
[12]宋丽华,冯希琴,熊世凤.乌鲁木齐市天山区178家医疗机构消毒质量监测结果分析[J].疾病预防控制通报,2015,30(4):41-42.
[13]陈建勇,段可佳,许黎.长沙市医疗机构口腔治疗用水干预前后监测情况调查分析[J].实用预防医学,2015,22(9):1124-1125.
[14]徐江,郑军,梁玉霞,等.石河子市医院口腔科及口腔诊所消毒效果现状调查[J].中华医院感染学杂志,2014,24(8):2058-2059.
[15]罗直智,董玉颖,王艳,等.过氧化氢与含氯消毒剂对口腔综合治疗台水消毒效果与污染状况调查[J].中国消毒学杂志,2015,32(6):545-546.