Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland.
Clin Radiol. 2011 Sep;66(9):861-4. doi: 10.1016/j.crad.2011.05.002. Epub 2011 Jun 14.
To explore the potential risk to patients and healthcare workers of acquiring meticillin-resistant Staphylococcus aureus (MRSA) in clinical and non-clinical areas within a radiology department.
High-risk sites in clinical and non-clinical areas within the Department of Radiology were identified and 125 environmental swabs were obtained by an infection control nurse specialist. Decontamination methods and protocols were reviewed and compared against international decontamination best practice.
One of 125 samples was culture positive for MRSA. The positive sample was isolated from the surface of the bore of the magnetic resonance imaging (MRI) unit. A hypochlorite cleaning agent was applied using a long-handled brush to clean the bore of the MRI unit. A repeat environmental screen found the MRI unit to be culture negative for MRSA.
This study has demonstrated that standard decontamination measures are adequate to prevent environmental contamination with MRSA in a radiology department. However, the MRI unit requires special attention because of its long bore and difficult access.
探讨放射科临床和非临床区域耐甲氧西林金黄色葡萄球菌(MRSA)感染患者和医护人员的潜在风险。
由感染控制护士专家确定放射科临床和非临床区域的高危部位,并采集 125 份环境拭子。回顾了去污方法和方案,并与国际最佳去污实践进行了比较。
125 份样本中有 1 份培养出 MRSA 阳性。阳性样本分离自磁共振成像(MRI)仪管腔表面。使用长柄刷涂抹含氯清洁剂清洁 MRI 仪管腔。重复环境筛查发现 MRI 仪管腔 MRSA 培养结果阴性。
本研究表明,标准去污措施足以防止放射科环境中 MRSA 的污染。然而,由于 MRI 仪管腔较长且难以进入,因此需要特别注意。