Aksoy E, Boag A, Brodbelt D, Grierson J
Royal Veterinary College, The Queen Mother Hospital, Hawkshead Lane, North Mymms, Hertfordshire AL9 7TA.
J Small Anim Pract. 2010 Nov;51(11):574-80. doi: 10.1111/j.1748-5827.2010.00994.x.
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.
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.
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.
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.
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。
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。
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。
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。