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探究临床麻醉实践对静脉输液和药物细菌污染的影响。

Investigating the impact of clinical anaesthetic practice on bacterial contamination of intravenous fluids and drugs.

作者信息

Mahida N, Levi K, Kearns A, Snape S, Moppett I

机构信息

Department of Clinical Microbiology, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Department of Clinical Microbiology, Nottingham University Hospitals NHS Trust, Nottingham, UK.

出版信息

J Hosp Infect. 2015 May;90(1):70-4. doi: 10.1016/j.jhin.2014.11.024. Epub 2015 Jan 13.

DOI:10.1016/j.jhin.2014.11.024
PMID:25648939
Abstract

Syringes (N = 426), ventilator machine swabs (N = 202) and intravenous (IV) fluid administration sets (N = 47) from 101 surgical cases were evaluated for bacterial contamination. Cultures from the external surface of syringe tips and syringe contents were positive in 46% and 15% of cases, respectively. The same bacterial species was cultured from both ventilator and syringe in 13% of cases, and was also detected in the IV fluid administration set in two cases. A significant association was found between emergency cases and contaminated syringes (odds ratio 4.5, 95% confidence interval 1.37-14.8; P = 0.01). Other risk factors included not using gloves and failure to cap syringes.

摘要

对101例外科手术病例中的注射器(n = 426)、呼吸机拭子(n = 202)和静脉输液器(n = 47)进行了细菌污染评估。注射器尖端外表面和注射器内容物的培养分别在46%和15%的病例中呈阳性。13%的病例中,呼吸机和注射器培养出相同的细菌种类,在两例静脉输液器中也检测到该细菌。发现急诊病例与受污染注射器之间存在显著关联(比值比4.5,95%置信区间1.37 - 14.8;P = 0.01)。其他风险因素包括未戴手套和未给注射器盖帽。

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