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采用定量微生物学方法对一家兽医医院葡萄球菌的表面污染情况进行评估。

Evaluation of surface contamination with staphylococci in a veterinary hospital using a quantitative microbiological method.

作者信息

Aksoy E, Boag A, Brodbelt D, Grierson J

机构信息

Royal Veterinary College, The Queen Mother Hospital, Hawkshead Lane, North Mymms, Hertfordshire AL9 7TA.

出版信息

J Small Anim Pract. 2010 Nov;51(11):574-80. doi: 10.1111/j.1748-5827.2010.00994.x.

Abstract

OBJECTIVES

To evaluate microbial contamination of the environment in a veterinary hospital using standards recommended for human hospitals and to provide a baseline against which further investigations can be compared.

METHODS

Surfaces were sampled twice daily for five consecutive days using a contact-based counting method to measure the levels of staphylococci in colony forming units (cfu) per cm².

RESULTS

Current recommendations for human hospitals were applied in this study; all samples with <2.5 cfu/cm² staphylococci were considered to have passed and those with ≥2.5 cfu/cm² to have failed. Of all the samples, 55.9% failed. The ICU did not have significantly higher failure rates than other areas of the hospital. The floor as a surface was associated with greater than a threefold increase in odds of elevated cfu concentrations relative to the door handle.

CLINICAL SIGNIFICANCE

This study provides information on the microbiological cleanliness of a veterinary teaching hospital using techniques and standards adopted by the food industry and recommended for human hospitals. This data can be used as a baseline for other hospitals, to evaluate the effectiveness in improvements in hygiene and cleaning measures and to design effective hospital cleaning protocols and assess ongoing hygiene standards.

摘要

目的

采用人类医院推荐的标准评估一家兽医医院的环境微生物污染情况,并提供一个可供进一步调查对比的基线。

方法

连续五天每天对表面进行两次采样,采用基于接触的计数方法来测量每平方厘米菌落形成单位(cfu)中的葡萄球菌水平。

结果

本研究采用了人类医院的现行推荐标准;所有葡萄球菌<2.5 cfu/cm² 的样本被视为合格,≥2.5 cfu/cm² 的样本被视为不合格。在所有样本中,55.9%不合格。重症监护室(ICU)的不合格率并不显著高于医院的其他区域。相对于门把手,地面作为一种表面,其cfu浓度升高的几率增加了三倍多。

临床意义

本研究利用食品行业采用并推荐用于人类医院的技术和标准,提供了一家兽医教学医院微生物清洁度的信息。这些数据可作为其他医院的基线,用于评估卫生和清洁措施改进的有效性,设计有效的医院清洁方案并评估持续的卫生标准。

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