李志颜

【摘要】 目的：统计并比较罗定市2015-2017年不同级别医疗机构消毒效果。方法：选取2015年1-12月医疗机构的550份消毒对象标本为A组，2016年1-12月的560份标本为B组，2017年1-12月的558份标本为C组。比较三组的消毒标本合格率，并比较三组中不同级别医疗机构的合格率，同时比较不同项目的合格率。结果：三组的消毒标本合格率呈现升高的趋势，C组的合格率高于A、B组，差异均有统计学意义（P<0.05），且三组中二级及以上医院及社区医疗机构的合格率均高于诊所，C组的压力蒸汽灭菌合格率低于其他项目，差异均有统计学意义（P<0.05），A、B组各个项目的合格率比较，差异均无统计学意义（P>0.05）。结论：罗定市2015-2017年不同级别医疗机构消毒效果呈现改善的趋势，且以诊所的合格率相对较低，应給予充分的重视。

【关键词】 罗定市; 不同级别医疗机构; 消毒效果

【Abstract】 Objective：To analyze and compare the disinfection effect of different levels of medical institutions in Luoding City from 2015 to 2017.Method：550 samples of disinfection objects in medical institutions from January 2015 to December 2015 were chosen as group A，560 samples from January 2016 to December 2016 were chosen as group B，558 samples from January 2017 to December 2017 were chosen as group C.Then the disinfection specimen qualified rates of three groups were compared，and the qualified rates of medical institutions with different levels were compared too，then the qualified rates of different items were compared.Result：The disinfection specimen qualified rates of three groups showed increasing trend，and the qualified rates of group C were higher than those of group A and B，the differences were statistically significant（P<0.05），and the qualified rates of grade two and above hospitals，community medical institutions in three groups were higher than those of clinics，the rates of community medical institutions were higher than those of clinics，and the qualified rate of pressure steam sterilization in group C was lower than other items，the differences were statistically significant（P<0.05），while all items qualified rates of group A and B were compared，there were no statistically significant differences（P>0.05）.Conclusion：The disinfection effect of different levels of medical institutions in Luoding City from 2015 to 2017 show improvement trend，and the qualified rates of clinics are relatively lower，so they should be paid to more attention.

【Key words】 Luoding city; Different levels of medical institutions; Disinfection effect

First-authors address：Luoding Center for Disease Control and Prevention，Luoding 527200，China

doi：10.3969/j.issn.1674-4985.2019.17.040

医疗机构的杀菌消毒是极为重要的一个方面，其关系到医疗工作进行的顺利程度及感染发生率的控制等多个方面，因此一直是各级医疗机构的重点强调方面。对于不同级别医疗机构消毒效果的相关研究多见，而不同时期及不同地点医疗机构的差异较为明显[1-2]，因此认为对于特定地点不同时期不同级别医疗机构消毒效果的比较性研究十分必要，可为特定时期的医疗机构进行针对性干预。本研究就罗定市2015-2017年不同级别医疗机构消毒效果进行统计与比较，现将研究结果报道如下。

1 资料与方法

1.1 一般资料 选取2015年1-12月医疗机构的550份消毒对象标本为A组，2016年1-12月的560份标本为B组，2017年1-12月的558份标本为C组。

1.2 方法 根据《医院消毒卫生标准（GB15982-2012）》对A组、B组及C组三组的消毒对象标本进行效果的评估，统计检测标本的合格率，然后比较三组的消毒标本合格率，并比较三组中不同级别医疗机构的合格率，同时比较不同项目（物体表面、医护人员手、使用中消毒剂、压力蒸汽灭菌、一次性医疗用品及紫外线灯）的合格率。……