主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 医源性感染 • 上一篇    下一篇

医务人员高频接触物体表面卫生状况的调查研究

陈炜 李秀华 许春娟 施丽莎 邬巧玲   

  1. 北京中医药大学护理学院(陈炜);中日友好医院(李秀华,许春娟,邬巧玲);首都医科大学护理学院(施丽莎)
  • 出版日期:2016-05-25 发布日期:2016-05-25

Cleaning status of medical staff’s high-touch surfaces in hospital enviorment

  • Online:2016-05-25 Published:2016-05-25

摘要: 目的:调查医务人员高频接触物体表面的菌落分布情况,为进一步降低医院感染的风险提供依据,进而提高护理质量。方法:在北京市某三级甲等综合医院4 个科室选取120 个高频接触物体表面,运用琼脂直接接触培养法对其表面进行微生物采样,对其菌种和数量进行分析。结果:在采集的120 份标本中分离出217 株菌株,其中以革兰氏阳性菌为主。采集的标本中有7 株金黄色葡萄球菌和1 株肠球菌,经药敏分析有3 株为耐甲氧西林金黄色葡萄球菌,1 株为高水平庆大霉素耐药肠球菌。对高频接触物体表面卫生状况进行评估,发现其卫生状况较好,但ICU 中吸痰管与负压吸引连接处的污染状况最为严重。结论:在ICU 中多处检测出耐药菌,应进一步加强ICU 耐药菌的防治。该院高频接触物体表面卫生状况较好,但吸痰管与负压吸引连接处的污染状况有待改善,应进一步加强清洁。

Abstract: Objective: To investigate the bacterium distribution of the high-touch surfaces of hospital environment and to provide references for further reducing the risk of hospital infections, and to improve care quality. Methods: We selected 120 high-touch surfaces in 4 wards and the samples were collected using RODAC plates. The type and number of bacteria were analyzed. Results: Totally 217 bacterium was found in 120 sample and were mainly gram-positive bacteria.There were 7 staphylococcus aureus and 1 enterococci in ICU. We also found 3 methicillin-resistant staphylococcus aureus and 1 high-level gentamicin resistant enterococci through sensitivity analyzes. Assessing the cleaning satus of high-touch surface, we found the overall situation is fairly well, but the pollution of suction tube in ICU is most serious. Conclusion:We found multiple drug-resistant bacterium in many places of ICU, so healthcare workers in ICU should strengthen the prevention and treatment of multiple drug-resistant bacterium. The cleaning status of high-touch surface in this hospital is fairly well, but the pollution of suction tube should be improved and we should strengthen cleaning.