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尼泊尔一家三级护理政府医院各科室空气培养中的微生物负荷

Microbiological burden in air culture at various units of a tertiary care government hospital in Nepal.

作者信息

Sapkota Binaya, Gupta Gopal Kumar, Shrestha Saroj Kumar, Pradhan Ashish, Karki Prasant, Thapa Ajit

机构信息

Department of Pharmacy, Government of Nepal Civil Service Hospital, Minbhawan, Kathmandu, Nepal.

Department of Biochemistry, Government of Nepal Civil Service Hospital, Minbhawan, Kathmandu, Nepal.

出版信息

Australas Med J. 2016 Jan 31;9(1):1-7. doi: 10.4066/AMJ.2015.2558. eCollection 2016.

Abstract

BACKGROUND

The environmental matrices (water, air, and surfaces) play a vital role as reservoirs of Legionella spp. and Pseudomonas aeruginosa (Pseudomonas spp.). Hence, hospital environment control procedures are effective measures for reducing nosocomial infections.

AIMS

This study was carried out to explore the profiles of microorganisms in air culture at various wards/units of a tertiary care hospital in Nepal.

METHODS

A descriptive cross-sectional study was carried out at various wards/units of a tertiary care hospital in Nepal between January and September 2015 to explore the microbiological burden in inanimate objects. Each week one ward or unit was selected for the study. Bed, tap, the entire room, trolley, computer, phone, rack handles, table, chair, door, stethoscope, oxygen mask, gown, cupboard handles, and wash basins were selected for air culture testing. Ten different wards/units and 77 locations/pieces of equipment were selected for air culture by employing a simple random sampling technique. Information about the organisms was entered into the Statistical Package for the Social Sciences (SPSS) Version 22 (IBM: Armonk, NY) and descriptive analyses were carried out.

RESULTS

Staphylococcus aureus (S. aureus), Micrococcus, coagulase negative staphylococcus (CONS), Bacillus, Pseudomonas aeruginosa, yeast, and Acinetobacter were the most commonly detected organisms. In the postoperative ward, S. aureus was the most frequently detected microorganism. Micrococcus was detected in four out of 10 locations. In the x-ray unit, S. aureus was detected in three out of four locations.

CONCLUSION

S. aureus, Micrococcus, CONS, Bacillus, Pseudomonas, yeast, and Acinetobacter were the most common organisms detected.

摘要

背景

环境基质(水、空气和表面)作为嗜肺军团菌属和铜绿假单胞菌(假单胞菌属)的储存库发挥着至关重要的作用。因此,医院环境控制程序是减少医院感染的有效措施。

目的

本研究旨在探索尼泊尔一家三级护理医院各病房/科室空气培养中的微生物谱。

方法

2015年1月至9月在尼泊尔一家三级护理医院的各病房/科室进行了一项描述性横断面研究,以探索无生命物体上的微生物负荷。每周选择一个病房或科室进行研究。选择床、水龙头、整个房间、推车、电脑、电话、架子把手、桌子、椅子、门、听诊器、氧气面罩、工作服、橱柜把手和洗脸盆进行空气培养检测。采用简单随机抽样技术选择了10个不同的病房/科室和77个位置/设备进行空气培养。将有关微生物的信息录入社会科学统计软件包(SPSS)第22版(IBM:纽约州阿蒙克)并进行描述性分析。

结果

金黄色葡萄球菌、微球菌、凝固酶阴性葡萄球菌、芽孢杆菌、铜绿假单胞菌、酵母菌和不动杆菌是最常检测到的微生物。在术后病房,金黄色葡萄球菌是最常检测到的微生物。在10个位置中的4个检测到微球菌。在X光科室,4个位置中的3个检测到金黄色葡萄球菌。

结论

金黄色葡萄球菌、微球菌、凝固酶阴性葡萄球菌、芽孢杆菌、假单胞菌、酵母菌和不动杆菌是检测到的最常见微生物。

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