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在儿科重症监护病房的特定表面上,铜表面与显著更低的细菌浓度相关。

Copper surfaces are associated with significantly lower concentrations of bacteria on selected surfaces within a pediatric intensive care unit.

作者信息

Schmidt Michael G, von Dessauer Bettina, Benavente Carmen, Benadof Dona, Cifuentes Paulina, Elgueta Alicia, Duran Claudia, Navarrete Maria S

机构信息

Department of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC.

Pediatric Intensive Care Unit, Hospital de Niños Roberto del Río, Santiago, Chile.

出版信息

Am J Infect Control. 2016 Feb;44(2):203-9. doi: 10.1016/j.ajic.2015.09.008. Epub 2015 Nov 6.

Abstract

BACKGROUND

Health care-associated infections result in significant patient morbidity and mortality. Although cleaning can remove pathogens present on hospital surfaces, those surfaces may be inadequately cleaned or recontaminated within minutes. Because of copper's inherent and continuous antimicrobial properties, copper surfaces offer a solution to complement cleaning. The objective of this study was to quantitatively assess the bacterial microbial burden coincident with an assessment of the ability of antimicrobial copper to limit the microbial burden associated with 3 surfaces in a pediatric intensive care unit.

METHODS

A pragmatic trial was conducted enrolling 1,012 patients from 2 high acuity care units within a 249-bed tertiary care pediatric hospital over 12 months. The microbial burden was determined from 3 frequently encountered surfaces, regardless of room occupancy, twice monthly, from 16 rooms, 8 outfitted normally and 8 outfitted with antimicrobial copper.

RESULTS

Copper surfaces were found to be equivalently antimicrobial in pediatric settings to activities reported for adult medical intensive care units. The log10 reduction to the microbial burden from antimicrobial copper surfaced bed rails was 1.996 (99%). Surprisingly, introduction of copper objects to 8 study rooms was found to suppress the microbial burden recovered from objects assessed in control rooms by log10 of 1.863 (73%).

CONCLUSION

Copper surfaces warrant serious consideration when contemplating the introduction of no-touch disinfection technologies for reducing burden to limit acquisition of HAIs.

摘要

背景

医疗保健相关感染会导致患者出现严重的发病和死亡情况。尽管清洁可以清除医院表面存在的病原体,但这些表面可能清洁不充分或在几分钟内再次被污染。由于铜具有固有的持续抗菌特性,铜表面为补充清洁工作提供了一种解决方案。本研究的目的是在评估抗菌铜限制儿科重症监护病房中3种表面相关微生物负荷能力的同时,定量评估细菌微生物负荷。

方法

在一家拥有249张床位的三级护理儿科医院的2个高 acuity 护理单元中,进行了一项为期12个月的实用试验,招募了1012名患者。每月两次从16个房间(8个配备普通设施,8个配备抗菌铜设施)的3个经常接触的表面确定微生物负荷,无论房间是否有人占用。

结果

在儿科环境中,发现铜表面的抗菌效果与成人医学重症监护病房报道的活动效果相当。抗菌铜表面床栏使微生物负荷的对数减少了1.996(99%)。令人惊讶的是,在8个研究房间引入铜制品后,发现从对照房间评估的物品中回收的微生物负荷减少了对数1.863(73%)。

结论

在考虑引入非接触式消毒技术以减轻负担、限制医疗保健相关感染的获取时,铜表面值得认真考虑。

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