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坦桑尼亚莫希乞力马扎罗基督教医疗中心医生和学生白大褂的细菌污染情况

Bacterial Contamination of Medical Doctors and Students White Coats at Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

作者信息

Qaday Josephat, Sariko Margaretha, Mwakyoma Adam, Kifaro Emmanuel, Mosha Dominick, Tarimo Richard, Nyombi Balthazar, Shao Elichilia

机构信息

Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania.

Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania; Kilimanjaro Christian Medical Centre, Clinical Laboratory, P.O. Box 3010, Moshi, Tanzania.

出版信息

Int J Bacteriol. 2015;2015:507890. doi: 10.1155/2015/507890. Epub 2015 Nov 4.

Abstract

Background. Microbial transmission from patient to patient has been linked to transient colonization of health care workers attires. Contamination of health care workers' clothing including white coats may play a big role in transmission of microbes. Study Objective. This study was conducted to determine the type of bacterial contamination on the white coats of medical doctors and students and associated factors. Methods. A cross-sectional study with purposive sampling of the bacterial contamination of white coats was undertaken. Demographic variables and white coats usage details were captured: when the coat was last washed, frequency of washing, washing agents used, and storage of the white coats. Swabs were collected from the mouth of left and right lower pockets, sleeves, and lapels of white coat in sterile techniques. Results. Out of 180 participants involved in the current study, 65.6% were males. Most of the coats were contaminated by staphylococci species and other bacteria such as Gram negative rods. Conclusion and Recommendations. White coats are potential source of cross infection which harbour bacterial agents and may play a big role in the transmission of nosocomial infection in health care settings. Effort should be made to discourage usage of white coats outside clinical areas.

摘要

背景。患者之间的微生物传播与医护人员工作服的短暂定植有关。医护人员的衣物(包括白大褂)污染可能在微生物传播中起很大作用。研究目的。本研究旨在确定医生和学生白大褂上的细菌污染类型及相关因素。方法。对白大褂的细菌污染进行了一项采用目的抽样的横断面研究。收集了人口统计学变量和白大褂使用细节:白大褂上次清洗时间、清洗频率、使用的洗涤剂以及白大褂的存放情况。采用无菌技术从白大褂左、右下口袋口、袖子和翻领处采集拭子。结果。在参与本研究的180名参与者中,65.6%为男性。大多数白大褂被葡萄球菌属及其他细菌(如革兰氏阴性杆菌)污染。结论与建议。白大褂是交叉感染的潜在来源,携带细菌病原体,可能在医疗机构医院感染传播中起很大作用。应努力劝阻在临床区域以外使用白大褂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9417/4745394/e87d46f49b49/IJB2015-507890.001.jpg

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