Department of Emergency and Critical Care Medicine, University of Tokushima Graduate School, Tokushima, Japan.
Am J Infect Control. 2013 Mar;41(3):273-4. doi: 10.1016/j.ajic.2012.02.028. Epub 2012 Aug 11.
We examined the incidence and types of bacterial contamination in 265 infusion set needles in adult critically ill patients. Bacterial contamination was detected in 15 samples (5.7%), and a total of 17 organisms were isolated. Ten were coagulase-negative staphylococci (CNS) and Staphylococcus aureus, and the remainder were α-Streptococcus, Corynebacterium, and gram-negative rods. Although the contamination was not directly related to catheter-related bloodstream infections exchanging infusion bottles can cause intraluminal contamination and is a possible route of these infections.
我们检查了 265 个成人危重病患者的输液套件针中的细菌污染发生率和类型。在 15 个样本(5.7%)中检测到细菌污染,共分离出 17 种病原体。其中 10 种为凝固酶阴性葡萄球菌(CNS)和金黄色葡萄球菌,其余为α-链球菌、棒状杆菌和革兰氏阴性杆菌。虽然这种污染与导管相关血流感染并无直接关系,但更换输液瓶可能会导致管腔内污染,这是这些感染的可能途径之一。