Gordin Fred M, Schultz Maureen E, Huber Ruth, Zubairi Sabiha, Stock Frida, Kariyil Joseph
Veterans Affairs Medical Center, Washington, DC 20422, USA.
Infect Control Hosp Epidemiol. 2007 Jun;28(6):743-4. doi: 10.1086/517977. Epub 2007 Apr 19.
We examined a cluster of 5 hemodialysis patients who contracted gram-negative bacteremia. A nurse who used an artificial fingernail to open a vial of heparin that was mixed to make a flush solution had a culture of an artificial fingernail specimen positive for Serratia marcescens. The typing of the S. marcescens strains isolated from the 5 patients and the nurse showed them to be identical. This finding provides strong support for policies prohibiting artificial nails for healthcare workers in all hemodialysis units.
我们检查了一组5名感染革兰氏阴性菌血症的血液透析患者。一名护士使用假指甲打开一瓶用于配制冲洗液的肝素，其假指甲标本培养出粘质沙雷氏菌呈阳性。从这5名患者和护士身上分离出的粘质沙雷氏菌菌株分型显示它们是相同的。这一发现为所有血液透析单位禁止医护人员使用假指甲的政策提供了有力支持。
