目的 了解杨浦区养老机构消毒质量的状况,为评估养老机构感染性疾病发生风险提供依据。方法 2016－2020年选择上海市杨浦区95家养老机构作为监测点,采集养老机构室内空气、环境物体表面、餐饮具表面、工作人员手 4 类样品进行细菌学检测,评价养老机构的消毒效果。结果 2016－2020年杨浦区95家次养老机构消毒效果监测平均合格率为 88.3%,不同年份监测样品合格率差异无统计学意义(χ2=6.368,P =0.173);公办养老机构的消毒效果合格率高于民办机构,差异有统计学意义(χ2 =10.252,P =0.001);4类监测样品合格率从低到高依次为工作人员手(80.44%),餐饮具表面(86.81%),环境物体表面(90.44%),室内空气(98.42%),不同类样品的消毒效果合格率差异有统计学意义(χ2=53.803,P＜0.001)。结论 杨浦区养老机构卫生消毒质量还有待提高,需要加强消毒的薄弱环节是工作人员手、餐饮具、环境物体表面。
Abstract
Objective To understand the quality of disinfection in Yangpu District's old-age care institutions,and to provide evidence for assessing the risk of infectious diseases in nursing homes. Methods From 2016 to 2020,95 old-age institutions in Yangpu District of Shanghai were selected as monitoring points.The indoor air,surface of environmental objects,surface of tableware and hands of staff in nursing homes were collected for bacteriological detection,and the disinfection effect of nursing homes was evaluated. Results The average qualified rate of disinfection effect monitoring in 95 old-age care institutions in Yangpu District from 2016 to 2020 was 88.3 %,and there was no significant difference in the qualified rate of monitoring samples in different years (χ2=6.368,P=0.173).The qualified rate of disinfection effect in public old-age care institutions was higher than that in private institutions,and the difference was statistically significant (χ2=10.252,P=0.001 ).The qualified rates of four kinds of monitoring samples from low to high were as follows :staff hands 80.44 %,tableware surface 86.81 %,environmental object surface 90.44 %,indoor air 98.42 %.The qualified rates of disinfection effect of different types of samples were statistically significant (χ2=53.803,P<0.001). Conclusion The disinfection quality of old-age care institutions in Yangpu District needs to be improved.The weak links need to be strengthened are staff hands,tableware and surface of environmental objects.
关键词
养老机构 /
消毒效果 /
细菌学
Key words
Old-age care institutions /
Disinfection effect /
Bacteriology
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