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微生物实验室中手和环境的细菌污染。

Bacterial contamination of hands and the environment in a microbiology laboratory.

机构信息

Division of Laboratory Medicine, Changi General Hospital, Singapore.

出版信息

J Hosp Infect. 2011 Jul;78(3):231-3. doi: 10.1016/j.jhin.2011.01.025. Epub 2011 Apr 8.

Abstract

This study investigated both the impact of glove usage on bacterial hand contamination of laboratory technicians and extent of environmental contamination of a microbiology laboratory with potential bacterial pathogens. Two groups of laboratory technologists participated in the study - one group who always used gloves when handling bacterial cultures and another group who did not. Semiquantitative bacterial sampling from technicians' hands was performed before and after a defined work period. Frequently touched areas of the laboratory were sampled over a four-week period and selective or chromogenic media utilised for the identification of meticillin-resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa, Salmonella spp. and Enterobacteriaceae. Laboratory technicians who did not use gloves were at significantly greater risk of acquiring MRSA following their work periods but no protective effect was demonstrated for glove usage against acquisition of Enterobacteriaceae. Hand washing was equally effective at removing acquired bacterial pathogens in both groups of workers. Environmental sampling documented the presence of MRSA in one-fifth of sampled sites, with the most frequent recovery from computer keyboards. Enterobacteriaceae and P. aeruginosa were less commonly recovered from the environment. This study demonstrates that glove usage is protective against the acquisition of MRSA and that MRSA is the most frequently recovered bacterial pathogen from our microbiology laboratory environment.

摘要

本研究调查了手套使用对实验室技术人员手部细菌污染的影响,以及微生物实验室潜在细菌病原体的环境污染程度。两组实验室技术人员参与了这项研究 - 一组在处理细菌培养物时始终戴手套,另一组则不戴手套。在规定的工作时间前后,对技术人员的手部进行了半定量细菌采样。在四周的时间内,对实验室经常接触的区域进行了采样,并使用选择性或显色培养基来鉴定耐甲氧西林金黄色葡萄球菌(MRSA)、铜绿假单胞菌、沙门氏菌和肠杆菌科。不戴手套的实验室技术人员在工作后感染 MRSA 的风险明显更高,但戴手套并不能预防肠杆菌科的感染。洗手在两组工人中同样有效地清除了获得的细菌病原体。环境采样记录表明,在五分之一的采样点存在 MRSA,最常见的是从计算机键盘上回收。从环境中较少回收肠杆菌科和铜绿假单胞菌。本研究表明,戴手套可预防 MRSA 的感染,而且 MRSA 是从我们的微生物实验室环境中回收的最常见细菌病原体。

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