中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2009年
16期
230-231
,共2页
张惠珍%魏全珍%刘丽华%秦慧琳
張惠珍%魏全珍%劉麗華%秦慧琳
장혜진%위전진%류려화%진혜림
细菌学调查%医院感染%消毒
細菌學調查%醫院感染%消毒
세균학조사%의원감염%소독
Bacteriological investigation%Hospital infection%Disinfection
目的 探讨不同病区床头柜表面消毒前后细菌学监测结果与医院感染的关系及其相关分析.方法 采用"棉试子倾注法"分别在消化病区、CCU病区(冠心病监护病房)及传染病区床头柜表面进行消毒前后采样,计算菌落数及进行致病菌检测.结果 消毒前不同病区床头柜表面细菌总数占比:传染病区>消化病区>CCU病区;微生物占比:革兰阳性(G+)球菌(占41.41%)>革兰阳性(G+)杆菌(占33.84%)>革兰阴性(G-)杆菌(占14.14%)>真菌(占6.57%)>革兰阴性(G-)球菌(占4.04%);致病菌以金黄色葡萄球菌、大肠埃希氏菌、肺炎克雷伯氏菌、铜绿假单胞菌等为主.结论 在不同病区床头柜表面消毒前后分离出的菌株与医院感染病原菌存在有同源性.因此,加强医院各个区域环境的清洁消毒,可有效预防和控制因环境污染所造成的医院感染发生.
目的 探討不同病區床頭櫃錶麵消毒前後細菌學鑑測結果與醫院感染的關繫及其相關分析.方法 採用"棉試子傾註法"分彆在消化病區、CCU病區(冠心病鑑護病房)及傳染病區床頭櫃錶麵進行消毒前後採樣,計算菌落數及進行緻病菌檢測.結果 消毒前不同病區床頭櫃錶麵細菌總數佔比:傳染病區>消化病區>CCU病區;微生物佔比:革蘭暘性(G+)毬菌(佔41.41%)>革蘭暘性(G+)桿菌(佔33.84%)>革蘭陰性(G-)桿菌(佔14.14%)>真菌(佔6.57%)>革蘭陰性(G-)毬菌(佔4.04%);緻病菌以金黃色葡萄毬菌、大腸埃希氏菌、肺炎剋雷伯氏菌、銅綠假單胞菌等為主.結論 在不同病區床頭櫃錶麵消毒前後分離齣的菌株與醫院感染病原菌存在有同源性.因此,加彊醫院各箇區域環境的清潔消毒,可有效預防和控製因環境汙染所造成的醫院感染髮生.
목적 탐토불동병구상두거표면소독전후세균학감측결과여의원감염적관계급기상관분석.방법 채용"면시자경주법"분별재소화병구、CCU병구(관심병감호병방)급전염병구상두거표면진행소독전후채양,계산균락수급진행치병균검측.결과 소독전불동병구상두거표면세균총수점비:전염병구>소화병구>CCU병구;미생물점비:혁란양성(G+)구균(점41.41%)>혁란양성(G+)간균(점33.84%)>혁란음성(G-)간균(점14.14%)>진균(점6.57%)>혁란음성(G-)구균(점4.04%);치병균이금황색포도구균、대장애희씨균、폐염극뢰백씨균、동록가단포균등위주.결론 재불동병구상두거표면소독전후분리출적균주여의원감염병원균존재유동원성.인차,가강의원각개구역배경적청길소독,가유효예방화공제인배경오염소조성적의원감염발생.
Objective To explore the relationship between the bacteriological monitoring results and hospital infection and its related analysis to different chests' surface before and after disinfection. Methods The "cotton sub-test law" was adopted to get sample from chests' surface in Digestion ward, CCU ward and Infectious disease ward before and after disinfection. Then we calculated the number of colonies and detected pathogens. Results The total number of surface bacteria proportion before disinfection: Infectious Diseases ward was the highest of these wards. The Digestion ward was higher than the CCU ward. Microbial proportion: Gram-positive (G+) cocci (accounting for 41.41 percent) >Gram positive (G+) bacteria (accounting for 33.84 percent) > Gram-negative (G-) bacilli (accounting for 14.14 percent) >Fungi (accounting for 6.57 percent) higher > Gram-negative (G-) cocci (accounting for 4.04% ). Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae,Pseudomonas aeruginosa and so on were the mainly Pathogens. Conclusions It is homology between the hospital Infection strains and the strains being isolated from the cupboard in different wards after and before disinfection. Therefore, to enhance the disinfection to the hospital environment in all regions can effectively prevent and control environmental pollution that caused the hospital infection.