摘要
目的了解无锡市医养结合型养老机构传染病和消毒管理现状。方法采用问卷调查、定性访谈方法,对31家医养结合型养老机构的传染病管理和消毒管理现状进行基线调查;采用消毒质量监测掌握消毒效果;运用头脑风暴法、专家评议法对各消毒项目进行风险评估,采用风险评估矩阵法得出各个风险因素的风险等级水平。结果31家机构中公办民营11家、民办民营20家,法定传染病流程和知识全部正确19家(61.29%),掌握传染病报告流程21家(67.74%),配备传染病管理人员28家(90.32%);开展消毒质量监测24家(77.42%),有改进措施20家(64.52%),设专用洗消间19家(61.29%),配备消毒管理人员29家(93.55%);15家(48.39%)食堂人员知晓发生疑似被污染时餐饮具的正确消毒方法和顺序;31家机构共采样1075份,总合格率为89.11%,合格率最低的是餐饮具表面(73.13%),公办民营和民营民办机构样品合格率分别为89.9%和88.7%,两者差异无统计学意义(P>0.05)。结论无锡市医养结合型养老机构餐饮具表面为极高风险项目,手卫生、环境消毒和医疗用品为高风险项目。
Objective To investigate the current status of infectious disease and disinfection management in elderly care institutions with integrated medical and nursing services in Wuxi City.Methods A baseline survey was conducted using questionnaires and qualitative interviews to assess infectious disease and disinfection management practices in 31 institutions.Disinfection quality monitoring was performed to evaluate effectiveness.Risk assessment for disinfection protocols was carried out through brainstorming sessions and expert reviews,with risk levels determined using a risk assessment matrix.Results Among the 31 institutions,11 were public-private partnerships and 20 were private-operated.Only 19 institutions(61.29%)demonstrated fully correct procedures and knowledge of statutory infectious disease management,21(67.74%)adhered to proper reporting protocols,and 28(90.32%)had designated personnel for infectious disease management.Disinfection quality monitoring was implemented in 24 institutions(77.42%),20(64.52%)had improvement measures,19(61.29%)had dedicated disinfection rooms,and 29(93.55%)assigned staff for disinfection management.Only 15 institutions(48.39%)ensured cafeteria staff correctly understood disinfection methods and sequences for suspected contaminated utensils.A total of 1,075 samples were collected,with an overall qualification rate of 89.11%.The lowest qualification rate was observed on utensil surfaces(73.13%),and no statistically significant difference existed between public-private and private institutions(89.9%vs.88.7%,P>0.05).Conclusion In Wuxi City,utensil surfaces in integrated medical-nursing elderly care institutions are identified as an extremely high-risk item,while hand hygiene,environmental disinfection,and medical supplies are classified as high-risk items.
作者
游颖琦
刘蕴华
刘全超
朱丁
YOU Ying-qi;LIU Yun-hua;LIU Quan-chao;ZHU Ding(The Affiliated Wuxi Center for Disease Control and Prevention of Nanjing Medical University&Wuxi Municipal Center for Disease Control and Prevention,Wuxi 214023,China)
出处
《中国消毒学杂志》
2025年第5期360-364,共5页
Chinese Journal of Disinfection
关键词
医养结合型养老机构
消毒
传染病管理
风险评估
elderly care institutions with integrated medical and nursing services
disinfection
infectious disease management
risk assessment
