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手机作为医院环境中潜在的感染传播媒介

Mobile Phones as a Potential Vehicle of Infection in a Hospital Setting.

作者信息

Chao Foong Yi, Green Mark, Zargari Ahmad, Siddique Romana, Tan Vanessa, Brain Terry, Ogden Kathryn

机构信息

a Launceston Clinical School University of Tasmania , Tasmania , Australia.

出版信息

J Occup Environ Hyg. 2015;12(10):D232-5. doi: 10.1080/15459624.2015.1060330.

Abstract

The objective of this article is to investigate the potential role of mobile phones as a reservoir for bacterial colonization and the risk factors for bacterial colonization in a hospital setting. We screened 226 staff members at a regional Australian hospital (146 doctors and 80 medical students) between January 2013 and March 2014. The main outcomes of interest were the types of microorganisms and the amount of contamination of the mobile phones. This study found a high level of bacterial contamination (n = 168/226, 74%) on the mobile phones of staff members in a tertiary hospital, with similar organisms isolated from the staff member's dominant hand and mobile phones. While most of the isolated organisms were normal skin flora, a small percentage were potentially pathogenic (n = 12/226, 5%). Being a junior medical staff was found to be a risk factor for heavy microbial growth (OR 4.00, 95% CI 1.54, 10.37). Only 31% (70/226) of our participants reported cleaning their phones routinely, and only 21% (47/226) reported using alcohol containing wipes on their phones. This study demonstrates that mobile phones are potentially vehicles for pathogenic bacteria in a hospital setting. Only a minority of our participants reported cleaning their phones routinely. Disinfection guidelines utilizing alcohol wipes should be developed and implemented.

摘要

本文的目的是调查手机作为细菌定植宿主的潜在作用以及医院环境中细菌定植的风险因素。我们在2013年1月至2014年3月期间对澳大利亚一家地区医院的226名工作人员(146名医生和80名医学生)进行了筛查。主要关注的结果是微生物的种类和手机的污染程度。本研究发现,一家三级医院工作人员的手机上细菌污染水平较高(n = 168/226,74%),从工作人员的优势手和手机上分离出的微生物相似。虽然大多数分离出的微生物是正常皮肤菌群,但有一小部分具有潜在致病性(n = 12/226,5%)。研究发现,初级医务人员是微生物大量生长的一个风险因素(OR 4.00,95% CI 1.54,10.37)。我们的参与者中只有31%(70/226)报告定期清洁手机,只有21%(47/226)报告使用含酒精的擦拭巾擦拭手机。本研究表明,在医院环境中手机可能是病原菌的传播媒介。我们的参与者中只有少数人报告定期清洁手机。应制定并实施使用酒精擦拭巾的消毒指南。

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