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艰难梭菌孢子在隔离病房环境中及通过病床的传播。

Transmission of Clostridium difficile spores in isolation room environments and through hospital beds.

作者信息

Sjöberg Maria, Eriksson Mats, Andersson Josefin, Norén Torbjörn

机构信息

Department of Infectious Diseases, Örebro University Hospital, Örebro, Sweden; School of Health and Medical Sciences, Örebro University, Örebro, Sweden.

出版信息

APMIS. 2014 Sep;122(9):800-3. doi: 10.1111/apm.12218. Epub 2014 Jan 30.

Abstract

The aim of this study was to determine the dissemination of Clostridium difficile (CD) spores in a hospital setting where the potassium monopersulfate-based disinfectant Virkon™ was used for cleaning. In the initial part of the study, we sampled 16 areas of frequent patient contact in 10 patient rooms where a patient with CD infection (CDI) had been accommodated. In the second part of the study, we obtained samples from 10 patient beds after discharge of CDI patients, both before and after the beds were cleaned. In the first part, CDspores were isolated in only 30% of the rooms. In the second part, which focused on transmission to hospital beds, C. difficile was found in four of 10 beds either before or after cleaning. In conclusion, in both parts of the study, we demonstrated a moderate spread of CD spores to the environment despite routine cleaning procedures involving Virkon™.

摘要

本研究的目的是确定在使用基于过一硫酸钾的消毒剂卫可™进行清洁的医院环境中艰难梭菌(CD)孢子的传播情况。在研究的第一部分,我们在10间曾收治过CD感染(CDI)患者的病房中,对16个患者经常接触的区域进行了采样。在研究的第二部分,我们在CDI患者出院后,对10张病床在清洁前后都进行了采样。在第一部分中,仅在30%的病房中分离出了CD孢子。在第二部分中,重点关注传播到医院病床的情况,在10张病床中,有4张在清洁前后都检测到了艰难梭菌。总之,在研究的两个部分中,我们都证明了尽管使用卫可™进行了常规清洁程序,但CD孢子仍在环境中出现了中度传播。

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