Loh W, Ng V V, Holton J
Department of Bacteriology, Royal Free & University College London Medical School, Windeyer Bld, Cleveland St, London, UK.
J Hosp Infect. 2000 May;45(1):65-8. doi: 10.1053/jhin.1999.0702.
This study has demonstrated that the white coats of medical students are more likely to be bacteriologically contaminated at points of frequent contact, such as the sleeve and pocket. The organisms identified were principally skin commensals including Staphylococcus aureus. The cleanliness of the coat as perceived by the student was correlated with bacteriological contamination, yet despite this, a significant proportion of students only laundered their coats occassionally. This study supports the view that the students' white coat is a potential source of cross infection on the ward and its design should be modified in order to facilitate hand washing. Hospitals training medical students should consider taking on the burden of providing freshly laundered white coats for the students.
这项研究表明,医学生的白大褂在频繁接触的部位,如袖子和口袋,更有可能受到细菌污染。鉴定出的微生物主要是皮肤共生菌,包括金黄色葡萄球菌。学生所感知到的白大褂清洁程度与细菌污染有关,然而,尽管如此,仍有相当一部分学生只是偶尔清洗他们的白大褂。这项研究支持这样一种观点,即学生的白大褂是病房交叉感染的一个潜在来源,其设计应加以改进以方便洗手。培训医学生的医院应考虑承担为学生提供 freshly laundered white coats的责任。(注:freshly laundered white coats直译为“刚洗过的白大褂”,这里按语境意译为“干净的白大褂”更合适)