Infectious Disease Unit, Shaare Zedek Medical Center, Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Am J Infect Control. 2011 Sep;39(7):555-9. doi: 10.1016/j.ajic.2010.12.016.
Uniforms worn by medical and nursing staff are not usually considered important in the transmission of microorganisms. We investigated the rate of potentially pathogenic bacteria present on uniforms worn by hospital staff, as well as the bacterial load of these microorganisms.
Cultures were obtained from uniforms of nurses and physicians by pressing standard blood agar plates at the abdominal zone, sleeve ends, and pockets. Each participant completed a questionnaire.
A total of 238 samples were collected from 135 personnel, including 75 nurses (55%) and 60 physicians (45%). Of these, 79 (58%) claimed to change their uniform every day, and 104 (77%) defined the level of hygiene of their attire as fair to excellent. Potentially pathogenic bacteria were isolated from at least one site of the uniforms of 85 participants (63%) and were isolated from 119 samples (50%); 21 (14%) of the samples from nurses' gowns and 6 (6%) of the samples from physicians' gowns (P = NS) included of antibiotic-resistant bacteria.
Up to 60% of hospital staff's uniforms are colonized with potentially pathogenic bacteria, including drug-resistant organisms. It remains to be determined whether these bacteria can be transferred to patients and cause clinically relevant infection.
医务人员制服通常不被认为是微生物传播的重要因素。我们调查了医院工作人员制服上存在的潜在致病菌的发生率以及这些微生物的细菌负荷。
通过在腹部区域、袖口和口袋处按压标准血琼脂平板，从护士和医生的制服上获取培养物。每位参与者都填写了一份问卷。
共从 135 名人员的 238 份样本中采集了 75 名护士（55%）和 60 名医生（45%）的样本。其中，79 人（58%）声称每天更换制服，104 人（77%）将其服装的卫生水平定义为良好至优秀。至少有 85 名参与者（63%）的制服的一个部位分离出了潜在致病菌，从 119 个样本（50%）中分离出了这些细菌；护士长袍中有 21 个样本（14%）和医生长袍中有 6 个样本（6%）含有抗生素耐药菌（P=NS）。
多达 60%的医院工作人员的制服被潜在的致病菌定植，包括耐药菌。这些细菌是否可以转移到患者身上并引起临床相关感染仍有待确定。
