【摘要】 目的了解青岛市养老机构消毒质量现状，并分析薄弱环节，为养老机构传染病防控提供技术指导。方法依据《青岛市重点场所消毒质量监测方案》，2021—2023年对青岛市39家养老机构不同项目消毒质量进行现场调查和采样检测，比较合格率差异。结果采集养老机构不同样品共2 560份，合格2 287份，总合格率为89.34%。餐饮具表面合格率最高（98.22%），工作人员手合格率最低（83.63%），使用中消毒液、室内空气和物体表面合格率分别为96.99%、96.41%和87.10%；工作人员中护理人员手卫生合格率最低（75.86%）。医养结合型养老机构监测合格率高于非医养结合型养老机构（91.56%vs 87.62%；χ~2=10.258,P=0.001）。结论青岛市养老机构消毒质量总体较好，但个别项目如水龙头表面和护理人员手合格率较低，应针对薄弱环节加强消毒培训指导和卫生监管。更多还原

【Abstract】 Objective To investigate the current status of disinfection quality of elderly care institutions in Qingdao,and to analyze the weak links,so as to provide technical guidance for the prevention and control of infectious diseases in elderly care institutions.Methods According to the Quality Monitoring Plan for Disinfection in Key Places in Qingdao,onsite investigations and sampling tests were conducted on the disinfection quality of 39 elderly care institutions from 2021 to 2023 in Qingdao,and the differences in qualification rates were compared.Results A total of 2 560 samples of differen subjects were collected,and 2 287 were qualified,the total qualified rate was 89.34%.The highest qualified rate was 98.22% for tableware surfaces.The lowest qualified rate was 83.63% for staff hands.The qualified rates of disinfectant,indoor ai and surface were 96.99%,96.41% and 87.10%,respectively.The lowest qualified rate of hand hygiene among nursing staf was 75.86%.The qualified rate of monitoring in medical and elderly care institutions was higher than that in non medica and elderly care institutions (91.56% vs 87.62%；χ~2=10.258,P=0.001).Conclusion The disinfection quality of elderly care institutions in Qingdao is generally good.The qualified rates of some projects such as the surface of faucets and the hands of nursing staff are relatively low.It is necessary to strengthen disinfection training and guidance,as well as hygiene supervision,in response to weak links.更多还原