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医院不同病房空气中细菌和气溶胶的监测——粒子计数在空气中细菌调查中的作用

Monitoring of airborne bacteria and aerosols in different wards of hospitals - Particle counting usefulness in investigation of airborne bacteria.

作者信息

Mirhoseini Seyed Hamed, Nikaeen Mahnaz, Khanahmd Hossein, Hatamzadeh Maryam, Hassanzadeh Akbar

机构信息

Department of Environmental Health Engineering, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Genetics and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Ann Agric Environ Med. 2015;22(4):670-3. doi: 10.5604/12321966.1185772.

Abstract

INTRODUCTION AND OBJECTIVE

The presence of airborne bacteria in hospital environments is of great concern because of their potential role as a source of hospital-acquired infections (HAI). The aim of this study was the determination and comparison of the concentration of airborne bacteria in different wards of four educational hospitals, and evaluation of whether particle counting could be predictive of airborne bacterial concentration in different wards of a hospital.

MATERIALS AND METHOD

The study was performed in an operating theatre (OT), intensive care unit (ICU), surgery ward (SW) and internal medicine (IM) ward of four educational hospitals in Isfahan, Iran. A total of 80 samples were analyzed for the presence of airborne bacteria and particle levels.

RESULTS

The average level of bacteria ranged from 75-1194 CFU/m (3) . Mean particle levels were higher than class 100,000 cleanrooms in all wards. A significant correlation was observed between the numbers of 1-5 µm particles and levels of airborne bacteria in operating theatres and ICUs. The results showed that factors which may influence the airborne bacterial level in hospital environments should be properly managed to minimize the risk of HAIs especially in operating theaters.

CONCLUSIONS

Microbial air contamination of hospital settings should be performed by the monitoring of airborne bacteria, but particle counting could be considered as a good operative method for the continuous monitoring of air quality in operating theaters and ICUs where higher risks of infection are suspected.

摘要

引言与目的

医院环境中空气传播细菌的存在备受关注,因为它们可能是医院获得性感染(HAI)的来源。本研究的目的是测定和比较四所教学医院不同病房空气中细菌的浓度,并评估颗粒计数是否可预测医院不同病房空气中细菌的浓度。

材料与方法

该研究在伊朗伊斯法罕的四所教学医院的手术室(OT)、重症监护病房(ICU)、外科病房(SW)和内科病房(IM)进行。共分析了80个样本中的空气传播细菌和颗粒水平。

结果

细菌平均水平在75 - 1194 CFU/m³之间。所有病房的平均颗粒水平均高于100,000级洁净室。在手术室和重症监护病房中,观察到1 - 5微米颗粒数量与空气传播细菌水平之间存在显著相关性。结果表明,应妥善管理可能影响医院环境中空气传播细菌水平的因素,以将医院获得性感染的风险降至最低,尤其是在手术室。

结论

医院环境的微生物空气污染应通过监测空气传播细菌来进行,但在怀疑感染风险较高的手术室和重症监护病房,颗粒计数可被视为连续监测空气质量的一种良好操作方法。

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