| Objective: to survey the disinfection and sterilization work quality of the medical institutions in the urban field of Zhuzhou city, and study the data got from the process to provide evidence for improvement of infection control management in the area.Methods: to assort the medical institutions as four levels (the level of Grade III, II, I and private clinic), and on-the-spot investigation and sampling and labroratory examination methods were used to carry out the surveys of different levels from 2003 to 2008,which then were compared with GB15982-1995 (Hygienic standard for disinfection in hospitals ) , criterion of technique of disinfection—2002, or GB18466-2005 ( Requirements for medical organization sewage discharge ) ,and then to judge the results was acceptable or unacceptable. Chi-square test was utilized to analyse the datas. The qualities of 15 hospitals of the level of Grade III and II were comprehensively evaluate by TOPSIS based on coefficient of entropy and rank sum ratio(RSR) method. All statistical analysis were caculated by spss17.0 or Excel 2003.Results: The sampls were 1335,1371,1345,1502,952 and 913 from 2003 to 2008 in turn. The total eligible rate was 91.63%.The eligible rates of object surface, disinfection solution in use, sterilized instruments and supplies shown an upward tendency (P<0.05), and so did the annual eligible rate , and the total eligible rate of Grade II or private clinics. The eligible rate of autoclaving efficacy was 100.00%.The best rank include 3 hospitals,secondly include 10, and next 2 within 15 hospitals of the level of Grade III and II.Conclusion: The disinfection and sterilization work quality in the medical institutions have got improved, but some weak points still exist. To raise the healthcare staff's consciousness of disinfection and sterilization, strengthen supervision and monitoring, and give some technical advices are necessary for some medical institutions. |
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