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笔记本电脑的通风风扇会成为患者医院感染的潜在来源吗?

Are laptop ventilation-blowers a potential source of nosocomial infections for patients?

作者信息

Siegmund Katja, Hübner Nils, Heidecke Claus-Dieter, Brandenburg Ronny, Rackow Kristian, Benkhai Hicham, Schnaak Volker, Below Harald, Dornquast Tina, Assadian Ojan, Kramer Axel

机构信息

Institute of Hygiene and Environmental Medicine, Ernst Moritz Arndt University, Greifswald, Germany.

出版信息

GMS Krankenhhyg Interdiszip. 2010 Sep 21;5(2):Doc07. doi: 10.3205/dgkh000150.

Abstract

Inadequately performed hand hygiene and non-disinfected surfaces are two reasons why the keys and mouse-buttons of laptops could be sources of microbial contamination resulting consequently in indirect transmission of potential pathogens and nosocomial infections. Until now the question has not been addressed whether the ventilation-blowers in laptops are actually responsible for the spreading of nosocomial pathogens. Therefore, an investigational experimental model was developed which was capable of differentiating between the microorganisms originating from the external surfaces of the laptop, and from those being blown out via the ventilation-blower duct. Culture samples were taken at the site of the external exhaust vent and temperature controls were collected through the use of a thermo-camera at the site of the blower exhaust vent as well as from surfaces which were directly exposed to the cooling ventilation air projected by the laptop. Control of 20 laptops yielded no evidence of microbial emission originating from the internal compartment following switching-on of the ventilation blower. Cultures obtained at the site of the blower exhaust vent also showed no evidence of nosocomial potential. High internal temperatures on the inner surfaces of the laptops (up to 73°C) as well as those documented at the site of the blower exhaust vent (up to 56°C) might be responsible for these findings.

摘要

手部卫生执行不当和表面未消毒是笔记本电脑的按键和鼠标按钮可能成为微生物污染源,从而导致潜在病原体间接传播和医院感染的两个原因。到目前为止,笔记本电脑的通风风扇是否实际上是医院病原体传播的原因这一问题尚未得到解决。因此,开发了一种研究性实验模型,该模型能够区分源自笔记本电脑外表面的微生物和通过通风风扇管道吹出的微生物。在外部排气口处采集培养样本,并通过热成像仪在风扇排气口处以及直接暴露于笔记本电脑投射的冷却通风空气的表面收集温度控制数据。对20台笔记本电脑的控制未发现通风风扇开启后内部隔层有微生物排放的证据。在风扇排气口处获得的培养物也没有显示出医院感染的可能性。笔记本电脑内表面的高温(高达73°C)以及风扇排气口处记录的高温(高达56°C)可能是造成这些结果的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6d5/2951100/871c3fc09528/KHI-05-07-t-001.jpg

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