【摘要】 目的为了解《医疗机构消毒技术规范》WS/T 367—2012(简称《消规》)的落实现状,发现消毒管理工作中存在的主要问题和薄弱环节,为进一步加强医疗机构消毒管理工作提供科学依据。方法 2018年11月1—20日采取多阶段分层抽样法确定调查对象,调查医院消毒工作管理制度制定及修订、消毒产品管理、消毒工作督导、消毒工作相关培训、清洗与消毒流程等情况。结果共计调查256所医疗机构,《消规》颁布后94.14%(241所)的医疗机构结合实际情况制定或修订了消毒工作管理制度;93.75%(240所)的医疗机构对使用的消毒产品相关证明进行审核、备份存档;91.41%(234所)的医疗机构定期对消毒工作进行督导,及时总结分析与反馈;93.75%(240所)的医疗机构开展了消毒工作相关培训,88.67%(227所)的医疗机构诊疗器械等常规复用流程正确。结论《消规》的颁布规范了医疗机构的消毒管理工作。医疗机构复用器械器具消毒流程已基本规范,基层医疗机构清洗消毒流程的正确率明显低于医院,是今后消毒管理工作推进的重点。更多还原

【Abstract】 Objective To understand the implementation status of Regulation of disinfection technique in healthcare settings(WS/T367)(hereinafter referred to as regulation of disinfection), find out the main problems and weak links in the disinfection management, and provide scientific basis for further strengthening the disinfection management of healthcare settings.Methods A multi-stage stratified sampling method was adopted to determine the surveyed subjects, formulation and revision of hospital disinfection management system, management of disinfection products, supervision of disinfection work, disinfection-related training, cleaning and disinfection process were investigated.Results A total of 256 healthcare settings were investigated, after the issuing of regulation of disinfection, 94.14%(n=241) of healthcare settings formulated or revised disinfection management system according to the actual situation; 93.75%(n=240) of healthcare settings reviewed, backuped and stored relevant certificates of disinfection products; 91.41%(n=234) of healthcare settings regularly supervised the disinfection work, as well as summarized, analyzed and fed back in time; 93.75%(n=240) of healthcare settings carried out disinfection-related training, and 88.67%(n=227) of healthcare settings carried out the correct routine reuse process of medical instruments.Conclusion The issuing of regulation of disinfection standardized the disinfection management of healthcare settings. Disinfection process of reusable instruments in healthcare settings has been basically standardized, correct rate of cleaning and disinfection process in primary healthcare settings is obviously lower than that in hospitals, which is the focus of disinfection management in the future.更多还原