中文摘要：

目的调查医院小型压力蒸汽灭菌器使用现况,分析存在问题,为贵州省卫生行政部门加强消毒灭菌管理提供依据。方法 2013年3月贵州省医院感染管理培训基地集中培训后发放调查表,对贵州省二级（含二级）以上医院小型压力蒸汽灭菌器使用现况进行调查。结果共调查149所医院,89所医院配置158台小型压力蒸汽灭菌器,二级医院110台、三级医院48台;其中B型83台、S型11台、N型64台,N型中46台分布于检验科,主要用于医疗废物及试验用品的灭菌,18台分布于口腔科、五官科、手术室、眼科、消毒供应中心,主要用于器械灭菌及紧急器械灭菌;灭菌物品过程监控调查显示,二级与三级医院每锅物理监测执行率分别为98.94%、97.87%,每包化学监测执行率分别为87.76%、86.96%,每周一次生物监测执行率分别为87.50%、97.67%;二级医院与三级医院使用小型压力蒸汽灭菌器科室建立灭菌物品清洗质量监测执行率分别为72.97%与74.19%,建立灭菌质控登记本执行率分别为83.64%与81.25%。结论贵州省医院临床科室忽视小型压力蒸汽灭菌器类型,错误选择灭菌负载范围,需要不断加强监管、正确选择并使用小型压力蒸汽灭菌器,实现临床器械集中处理。

英文摘要：

OBJECTIVE To investigate the current status of small steam sterilizers and analyze the existing problems so as to provide guidance for the disinfection and sterilization by the health administrative departments in Guizhou province .METHODS The questionnaires were assigned to investigate the current status of use of small steam sterilizers in two‐level and two‐level above hospitals of Guizhou province after the centralized training was conducted in Guizhou province nosocomial infection management training base in Mar ,2013 .RESULTS A total of 149 hospitals were investigated ,of which 89 configured 158 small steam sterilizers ,including 110 in two‐level hospitals and 48 in three‐level hospitals ;there were 83 of type B ,11 of type S ,and 64 of type N ;46 of 64 type N distributed in the clinical laboratory department and were mainly used for the sterilization of medical waste and laboratory supplies ,18 of type N distributed in the stomatology department ,E .N .T department ,operating room , ophthalmology department ,and central sterile supply department and were mainly used for the sterilization of medical instruments and emergency instruments .The monitoring of the sterilization of supplies revealed that the implementation rate of physical monitoring of each pot was 98 .94% in the two‐level hospitals ,97 .87% in the three‐level hospitals ,the implementation rate of chemical monitoring of each package was 87 .76% in the two‐level hospitals ,86 .96% in the three‐level hospitals ,and the implementation rate of biological monitoring of each week was 87 .50% in the two‐level hospitals , 97 .67% in the three‐level hospitals ;the implementation rate of establishment of cleaning quality monitoring of sterile supplies in the departments with the use of small steam sterilizers was 72 .97% in the two‐level hospitals ,74 .19% in the three‐level hospitals ,and the implementation rate of establishment of registration book of sterilization quality control was 83 .64% in the two‐level hospitals , 81 .25%