Reboux G, Rocchi S, Millon L, Talon D, Bertrand X
Service de parasitologie-mycologie, CHU de Besançon, 3 boulevard Fleming, Besançon cedex, France.
J Mycol Med. 2013 Sep;23(3):149-54. doi: 10.1016/j.mycmed.2013.05.001. Epub 2013 Jul 12.
To evaluate the level of microbial contamination of general pratice environment.
Ten points, including air, water and surfaces were sampled in general practitioner's consultation room of 30 general practices in Franche-Comté region (eastern France). For each sample, a global microbial count was assessed as well as the presence of potential pathogen microorganisms: Aspergillus fumigatus, Staphylococcus aureus, Pseudomonas aeruginosa, and Enterobacteriaceae.
We note that 66.3% of the samples (n=202) were on the target level (<51 ufc/25 cm (2), <101 ufc/m(3), <100 ufc/mL in total bacteria, without pathogenic species and without A. fumigatus respectively on surfaces, air and water, without isolation of coliforme bacteria or P. aeruginosa for 100mL of water). A. fumigatus, S. aureus, P. aeruginosa and Enterobacteriaceae were recovered in 8.0%, 2.1%, 0.7%, 0% respectively. However, 66.7% of air sampling were positive to A. fumigatus with 2 to 12 cfu/m(3).
This study shows a low level of bacterial contamination of general practitioner's consultation room. A. fumigatus frequency in air samples seems equivalent to that found in housing without air treatment.
评估全科医疗环境中的微生物污染水平。
在法国东部弗朗什-孔泰地区30家全科诊所的全科医生诊疗室中，对空气、水和表面等10个点进行采样。对于每个样本，评估总体微生物计数以及潜在病原微生物的存在情况：烟曲霉、金黄色葡萄球菌、铜绿假单胞菌和肠杆菌科。
我们注意到，66.3%的样本（n = 202）达到目标水平（表面、空气和水中的总细菌分别<51 cfu/25 cm²、<101 cfu/m³、<100 cfu/mL，无致病物种且无烟曲霉，100 mL水中未分离出大肠菌群或铜绿假单胞菌）。烟曲霉、金黄色葡萄球菌、铜绿假单胞菌和肠杆菌科的检出率分别为8.0%、2.1%、0.7%、0%。然而，66.7%的空气采样对烟曲霉呈阳性，浓度为2至12 cfu/m³。
本研究表明全科医生诊疗室的细菌污染水平较低。空气样本中烟曲霉的频率似乎与未经空气处理的房屋中发现的频率相当。
