目的 了解安徽省养老机构消毒卫生状况,为促进养老机构消毒卫生工作提供参考依据。方法 2022年选择安徽省24个县(市、区)49家养老机构作为监测点,调查其基本情况,采集物体表面、工作人员手、餐饮具等3类环境样本进行细菌学检测,分析其消毒卫生状况。结果 2022年安徽省全年共监测样本4 507份。非医养结合型养老机构物体表面、餐饮具、工作人员手细菌菌落总数均低于医养结合型养老机构(P<0.05)。不同对象消毒监测样品中,细菌菌落总数从低到高依次为:物体表面、餐饮具、工作人员手(H=259.012,P<0.001)。不同物体表面监测样品中,细菌菌落总数从低到高依次为:扶手表面、桌椅、门把手、公共物品、电梯按钮、水龙头 (H=69.530,P<0.001);不同工作人员手监测样品中,细菌菌落总数从低到高依次为保健医生、后勤人员、保洁人员、护理人员、营养员 (H=25.975,P<0.001);不同干手方式监测样品中,细菌菌落总数从低到高依次为:一次性纸巾、自然风干、毛巾 (H=66.436,P<0.001)。结论 安徽省养老机构消毒卫生状况存在薄弱环节,需加强工作人员手卫生尤其是护理人员手卫生以及餐饮具的清洁消毒工作。

Objective To understand the disinfection and hygiene status of the old-age institutions in Anhui Province,and provide reference for promoting the disinfection and hygiene work of the old-age institutions. Methods In 2022,49 institutions for the elderly in 24 counties (cities,districts) of Anhui Province were selected as monitoring sites to investigate their basic conditions,and three types of environmental samples collected from the surfaces,staff hands and table ware were analyzed for bacteriological testing,and the hygienic status of disinfection was analyzed. Results In 2022,4 507 samples were monitored in Anhui Province.The total number of bacterial colonies on the surface of the objects,dining utensils,and hands of staff in non-medical elderly care institutions was lower than that of medical elderly care institutions (P<0.05).In the disinfection monitoring samples of different objects,total bacterial colony count from low to high was as follows: object surface,dining utensils,and staff hands (H=259.012,P<0.001).In different surface monitoring samples of objects,total bacterial colony count from low to high was as follows: armrest surface,tables and chairs,door handles,public items,elevator buttons,and faucets (H=69.530,P<0.001).The total number of bacterial colonies in hand monitored samples from different staff members ranked from low to high was healthcare doctors,logistics personnel,cleaning personnel,nursing staff,and nutritionists (H=25.975,P<0.001).Total bacterial colony count in samples monitored by different hand drying methods,from low to high was as follows: disposable tissues,natural air drying,and towels (H=66.436,P<0.001). Conclusion The disinfection and hygiene situation of the retirement institutions in Anhui Province is not promising.The hand hygiene of the staff,especially the nursing staff,and the cleaning and disinfection of tableware should be strengthened.