López-Gigosos Rosa, Mariscal Alberto, Gutierrez-Bedmar Mario, Mariscal-Lopez Eloisa, Fernández-Crehuet Joaquín
Department of Preventive Medicine and Public Health, Faculty of Medicine, Malaga University, Malaga, Spain.
Department of Preventive Medicine and Public Health, Faculty of Medicine, Malaga University, Malaga, Spain.
Am J Infect Control. 2014 Aug;42(8):879-84. doi: 10.1016/j.ajic.2014.04.019. Epub 2014 Jun 12.
The survival of pathogenic microorganism on fabrics in the health care environment has a important role in nosocomial infections. The use of biocidal fabrics and surfaces could reduce the prevalence of the microorganisms in the hospital environment.
In this study, the persistence of nosocomial bacteria on 2 fabrics containing biocidal fibers (BF) in the long term following desiccation and subsequent storage was examined at 40% and 90% relative humidity (RH).
Very few strains survived more than 7 days at 40% RH on fabrics containing 67% BF, and only strains of Acinetobacter baumanii and Pseudomonas aeruginosa survived on fabric containing 100% BF. None of the strains tested survived 14 days on the 2 fabrics, 67% or 100% BF, under these environmental conditions. In contrast, at higher RH (∼90%), most of the strains tested showed prolonged survival on both fabrics, and all strains of Klebsiella pneumoniae, Enterobacter aerogenes, and A baumannii survived for more than 14 days; however, in a Petri dish, most of the microorganisms tested showed a higher survival even at 28 days. The gram-positive cocci and A baumannii were the most persistent bacteria on the Petri dish.
This study emphasizes the effect of RH on the survival of nosocomial bacteria on 2 commercially available fabrics containing biocide. Evidence of the clinical efficacy of these BF-containing fabrics is lacking.
致病微生物在医疗环境中的织物上存活,在医院感染中起着重要作用。使用具有杀菌作用的织物和表面可降低医院环境中微生物的流行率。
在本研究中,在40%和90%相对湿度(RH)条件下,对两种含有杀菌纤维(BF)的织物在干燥及随后储存后的长期时间内,医院细菌的存活情况进行了检测。
在相对湿度40%的条件下,含67% BF的织物上很少有菌株存活超过7天,在含100% BF的织物上只有鲍曼不动杆菌和铜绿假单胞菌菌株存活。在这些环境条件下,所检测的菌株在含67%或100% BF的两种织物上均未存活14天。相比之下,在较高相对湿度(约90%)下,大多数所检测的菌株在两种织物上的存活时间都延长了,肺炎克雷伯菌、产气肠杆菌和鲍曼不动杆菌的所有菌株均存活超过14天;然而,在培养皿中,大多数所检测的微生物即使在28天时仍显示出较高的存活率。革兰氏阳性球菌和鲍曼不动杆菌是培养皿上存活时间最长的细菌。
本研究强调了相对湿度对两种市售含杀菌剂织物上医院细菌存活的影响。缺乏这些含BF织物临床疗效的证据。