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2016—2023年新疆哨点医院医疗用水微生物污染状况监测结果分析

Analysis of microbial pollution status of medical water in Xinjiang sentinel hospital from 2016 to 2023
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摘要 目的了解新疆哨点医院医疗用水消毒质量。方法2016年1月—2023年3月,对新疆11家哨点医院医疗用水进行季度监测。结果11家哨点医院共采集医疗用水935份,合格率为77.5%,按年份进行分析,2016—2023年医疗用水合格率呈上升趋势(P<0.05)。不同水样类型合格率存在统计学差异(P<0.05),口腔科诊疗用水、外科洗手水合格率偏低,且口腔科诊疗用水检出包括铜绿假单胞菌、少动鞘氨醇杆菌等多种致病菌。随监测持续开展,口腔科诊疗用水和内镜漂洗水合格率呈现升高趋势(P<0.05)。一级医院医疗用水合格率呈现明显上升趋势(χ_(趋势)^(2)=12.038,P<0.01),但不同等级医院之间,医疗用水合格率差异无统计学意义(P>0.05)。在各科室中,呼吸科、口腔科、手术室医疗用水合格率较低,新生儿科次之,内镜室和血透室合格率较高。结论新疆哨点医院医疗用水仍旧存在微生物污染问题,尤其是口腔科诊疗用水、外科洗手水、湿化水。 Objective To assess the disinfection quality of medical water in sentinel hospitals in Xinjiang.Methods Quarterly monitoring of medical water was conducted in 11 sentinel hospitals from Jan 2016 to Mar 2023.Results A total of 935 medical water samples were collected,with an overall qualification rate of 77.5%.The qualification rate showed an upward trend from 2016 to 2023(P<0.05).Significant differences were observed among different water types(P<0.05).Dental unit water and surgical handwashing water had lower qualification rates,with pathogenic bacteria such as P.aeruginosa and S.spiritivorum detected in dental water.Over time,the qualification rates of dental unit water and endoscope rinse water significantly improved(P<0.05).Primary hospitals demonstrated a notable upward trend in water qualification rates(χ^(2)=12.038,P<0.01),no significant differences were observed among different grade hospitals(P>0.05).Among departments,the lowest qualification rates were found in respiratory,dental,and surgical units,followed by neonatology,while endoscopy and hemodialysis units had higher rates.Conclusion Microbial contamination persists in medical water from Xinjiang sentinel hospitals,particularly in dental unit water,surgical handwashing water,and humidification water.
作者 张段段 艾山江·哈得尔 袁江玲 安冉 史深 杨洪彩 傅虹 赵国玉 ZHANG Duan-duan;Ai-shan-jiang·Hader;YUAN Jiang-ling;AN Ran;SHI Shen;YANG Hong-cai;FU Hong;ZHAO Guo-yu(The Center for Disease Control and Prevention of Xinjiang Urgur Autonomous Region,Urumqi 830002,China)
出处 《中国消毒学杂志》 2025年第5期348-351,共4页 Chinese Journal of Disinfection
基金 中国疾病预防控制中心“消毒与感染控制专项”项目(102393220020080000016)。
关键词 医疗用水 口腔科诊疗用水 外科洗手水 湿化水 微生物污染 medical water dental unit water surgical handwashing water humidification water microbial contamination
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