医务人员高频接触物体表面卫生状况的调查研究.pdfVIP

医源性感染 Hospital Acquired Infection 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 [ 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。 [ 关键词 ] 高频接触；物体表面；卫生状况 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.05.030 Cleaning status of medical staff’s high-touch surfaces in hospital enviorment / CHEN Wei, LI Xiuhua, XU Chunjuan, SHI Lisha, WU Qiaoling // School of Nursing, Beijing University of Chinese Medicine, Beijing, 100102 China /// Chinese Nursing Management-2016,16(5): 692-695 [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 t