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生物流体对不同医院表面和污染物上细菌生存能力的影响。

Influence of biological fluids in bacterial viability on different hospital surfaces and fomites.

作者信息

Esteves Deigilam C, Pereira Valeria C, Souza Joyce M, Keller Rogéria, Simões Rebeca D, Winkelstroter Eller Lizziane K, Rodrigues Marcus Vinicius P

机构信息

Master's Program in Environment and Regional Development, University of Western São Paulo, Presidente Prudente, SP, Brazil.

School of Biomedical Science, University of Western São Paulo, Presidente Prudente, SP, Brazil.

出版信息

Am J Infect Control. 2016 Mar 1;44(3):311-4. doi: 10.1016/j.ajic.2015.09.033. Epub 2015 Nov 12.

Abstract

BACKGROUND

The hospital environment is susceptible to bacterial contamination along with survival in fomites and surfaces, allowing dissemination of potential pathogenic strains. The present research aimed to evaluate the influence of biological fluids in bacterial viability on fomites and surfaces commonly present in nosocomial environment.

METHODS

Four different fomites and surfaces (ceramic floor, cotton fabric fragments and synthetic fibers, and eggcrate foam mattress) were contaminated with potential pathogens (Staphylococcus aureus, Escherichia coli, Enterococcus faecalis, Pseudomonas aeruginosa, and Klebsiella pneumoniae), then submitted to influence of biological fluids (blood, urine, artificial saliva). The viability of strains was evaluated at 24 hours after contamination and then in intervals of 7 days, by the colony-forming unit count technique.

RESULTS

S aureus presented viability (>70 days) in all conditions tested, E faecalis and K pneumoniae had decreased viability over time, and E coli did not exhibit a growth relationship with surfaces or fluids. Persistence and adaptability capacity of potential pathogens in fomites and surfaces exposed to the patient are important for guidance, planning, and outlining of protocols for microorganism dissemination control and prevention in the health care environment.

摘要

背景

医院环境容易受到细菌污染,细菌可在污染物和物体表面存活,从而导致潜在致病菌株传播。本研究旨在评估生物体液对医院环境中常见污染物和物体表面细菌生存能力的影响。

方法

用潜在病原体(金黄色葡萄球菌、大肠杆菌、粪肠球菌、铜绿假单胞菌和肺炎克雷伯菌)污染四种不同的污染物和物体表面(陶瓷地板、棉织物碎片和合成纤维以及泡沫床垫),然后使其受到生物体液(血液、尿液、人工唾液)的影响。通过菌落形成单位计数技术,在污染后24小时以及之后每隔7天评估菌株的生存能力。

结果

金黄色葡萄球菌在所有测试条件下均具有生存能力(>70天),粪肠球菌和肺炎克雷伯菌的生存能力随时间下降,而大肠杆菌与物体表面或体液之间未表现出生长关系。潜在病原体在接触患者的污染物和物体表面的持久性和适应能力对于指导、规划和制定医疗保健环境中微生物传播控制与预防方案至关重要。

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