Analysis And Countermeasure About The Disinfection Quality Of Medical Institution In Huishan District Of Wuxi,2013-2014

Objective:Nosocornial Infection is one of the main influence factors which threaten patients’safety in hospital.Sterilization and isolation are important to prevent and control nosocomial infection.The complexity and diversity of nosocomial infection pathogen make disinfection management in hospital face enormous challenges.To analyze and discuss about the disinfection quality of medical institution in Huishan district of Wuxi,2013-2014.To improve the prevention and control of hospital infection of medical institutions ability,reduce the nosocomial infection occurrence.To provide scientific advice to the administrative department of public health for nosocomial infection management system.Methods:Choosing 14 public medical institution as monitoring objects in Huishan district of Wuxi,including three secondary medical institutions,11 primary medical institutions;taking random samples from indoor ai、disinfectant in use、medical personnel hand、environmental surfaces、UV germicidal lamp、medical equipment、disinfection after endoscopic、hospital sewage;collecting relevant data to construct database,the data was analyzed with SPSS13.0,at different levels of medical institutions,samples of different grades,different sample category,unqualified samples aspects analyze disinfection quality effect.Results:In all of 827 samples,the overall qualified rate is 92.02%,there is no statistical difference between the two-year`s results(x~2)=0.0009,P=0.975);Indoor air(85.53%),disinfectant in use(57.14%),disinfected endoscopy(74.36%)are less than two-year`s overall average.There are differences between secondary medical institutions and primary medical institutions.(x~2)=19.68,P<0.0001);disinfected samples are different from sterilizateds samples(x~2)=19.06,P<0.0001);II,III class environment sample qualified rates are lower than the class I qualification rate of environmental samples.Conclusion:The indoor air is unqualified,concentration of disinfectant in use is not up to standard,overload use of endoscopy to meet the needs of the clinic and so on are the main factors influencing the overall qualified rate,there are differences between different levels of medical institutions.According to field investigations,Huishan district is far away from the wuxi city,the outpatient volume of the local three secondary medical institutions are far more than the community health service of medical institutions,.It is difficult for hospital disinfection work to keep pace with high density of patients with medical needs.Kits,suture packages are disinfected by a secondary medical institution,then distribute to primary medical institutions.Such measures are simple,but the existence hidden danger.Once the sterilization class samples are not up to standards,accident occurs.II,III class environment sample qualified rates are lower than the class I qualification rate of environmental samples.To the problems above medical institutions must strictly implement the relevant national laws and regulations to further improve the disinfection measures,Strengthen independent monitoring work,find problems in time,control nosocomial infection,improve the quality of medical treatment.The health administrative department in Huishan district should strengthen the supervision of the secondary medical institutions,arrange health resources to primary medical institutions reasonably and eliminate factors which may cause nosocomial infection.