Department of Pathology and Microbiology, Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, Ontario, Canada.
Am J Infect Control. 2011 Feb;39(1):56-63. doi: 10.1016/j.ajic.2010.05.029.
The attitudes and behaviors of chiropractors regarding table disinfection have not yet been investigated. The purpose of this study was to evaluate (1) the bacterial contaminants present on treatment tables in private chiropractic clinics, (2) the effectiveness of the paper barrier in preventing bacterial deposition, and (3) chiropractors' attitudes and practices regarding table disinfection.
Defined portions of treatment tables from 14 private clinics in Alberta, Canada were sampled for the presence of bacteria. Growth characteristics and 16S rRNA gene sequencing were used for bacterial identification. In addition, a 12-item survey was administered to southern Alberta chiropractors (n = 79; 81% response rate) inquiring about their attitudes and behaviors regarding table disinfection.
Respondents favored the idea of table disinfection (84%), but only 62% had a routine disinfection protocol. Table sampling revealed the presence of a number of bacteria, including methicillin-resistant Staphylococcus aureus, which were recovered from 3 separate clinics. The paper covering on table headpieces was an effective barrier to bacteria.
Chiropractors have a positive attitude regarding disinfection; however, the risk of infection from treatment tables remains. Modification of the positioning of facial piece paper may be indicated, along with increased emphasis on disinfection.
脊椎按摩师对桌子消毒的态度和行为尚未得到调查。本研究的目的是评估（1）私人脊椎按摩诊所治疗桌上存在的细菌污染物，（2）纸屏障在防止细菌沉积方面的有效性，以及（3）脊椎按摩师对桌子消毒的态度和做法。
从加拿大艾伯塔省的 14 家私人诊所中抽取了治疗桌的规定部分，以检测细菌的存在。生长特征和 16S rRNA 基因测序用于细菌鉴定。此外，还对艾伯塔省南部的脊椎按摩师（n = 79；81%的回复率）进行了一项 12 项调查，询问他们对桌子消毒的态度和行为。
受访者赞成桌子消毒的想法（84%），但只有 62%有常规消毒方案。桌子样本显示存在多种细菌，包括从 3 家不同诊所分离出的耐甲氧西林金黄色葡萄球菌。头枕上的纸张覆盖物是细菌的有效屏障。
脊椎按摩师对消毒持积极态度；然而，治疗桌感染的风险仍然存在。可能需要修改面部纸的定位，并更加重视消毒。
