Heeg P, Kanz E
Prakt Anaesth. 1975 Jun;10(3):125-35.
The air in a surgical intensive care unit was analysed with the view of ascertaining the influence on the bacterial content of the air of such medical and nursing procedures as intubation, X-ray examination, bladder washout, massage, physiotherapy, bedmaking. By means of a Casella slit sampler, placed in the middle of the room, it was established that the activities mentioned above caused the bacterial count to rise by 35-310 percent above the hourly determined normal level. In some cases the count did not return to normal until 30 minutes later. Simultaneous determinations of the dust content of the air by means of a Royco particle counter showed fairly close correlation between changes in the number of particles (over 5 mu) and in the number of bacteria in the air. Petri plates exposed near the patient showed a definite relationship between medical or nursing activities involving that particular patient and the number of bacteria deposited on the plate. Continuous disinfection of the air by air-conditioning - cum-ultraviolet ray equipment succeeded in reducing the average bacterial count by 50 per cent although the figures varied in different parts of the ward.
为了确定诸如插管、X光检查、膀胱冲洗、按摩、物理治疗、铺床等医疗和护理操作对手术重症监护病房空气细菌含量的影响,对该病房的空气进行了分析。通过放置在房间中央的卡塞拉狭缝采样器确定,上述操作使细菌数量比每小时测定的正常水平高出35%至310%。在某些情况下,细菌数量直到30分钟后才恢复正常。同时,通过罗伊科粒子计数器对空气尘埃含量进行测定,结果表明空气中粒径大于5微米的粒子数量变化与细菌数量变化之间存在相当密切的相关性。在患者附近暴露的培养皿显示,涉及该特定患者的医疗或护理活动与培养皿上沉积的细菌数量之间存在明确的关系。使用空调和紫外线设备对空气进行持续消毒,成功地使平均细菌数量减少了50%,尽管病房不同部位的数值有所不同。