Division of Microbiology, Department of Pathology, Faculty of Medicine, University of Porto, Alameda Prof. Hernâni Monteiro, 4200, Porto, Portugal.
Burn Unit, Department of Plastic and Reconstructive Surgery, Centro Hospitalar São João, Porto, Portugal.
Eur J Clin Microbiol Infect Dis. 2017 Nov;36(11):2053-2062. doi: 10.1007/s10096-017-3042-4. Epub 2017 Jun 25.
Despite considerable efforts, healthcare-associated infections (HAIs) continue to be globally responsible for serious morbidity, increased costs and prolonged length of stay. Among potentially preventable sources of microbial pathogens causing HAIs, patient care items and environmental surfaces frequently touched play an important role in the chain of transmission. Microorganisms contaminating such high-touch surfaces include Gram-positive and Gram-negative bacteria, viruses, yeasts and parasites, with improved cleaning and disinfection effectively decreasing the rate of HAIs. Manual and automated surface cleaning strategies used in the control of infectious outbreaks are discussed and current trends concerning the prevention of contamination by the use of antimicrobial surfaces are taken into consideration in this manuscript.
尽管付出了相当大的努力，但医疗保健相关感染（HAIs）仍然在全球范围内导致严重的发病率、增加成本和延长住院时间。在导致 HAIs 的潜在可预防微生物病原体来源中，经常接触的患者护理用品和环境表面起着重要的传播链作用。污染这些高接触表面的微生物包括革兰氏阳性和革兰氏阴性细菌、病毒、真菌和寄生虫，通过改进清洁和消毒可以有效降低 HAIs 的发生率。本文讨论了在控制感染性爆发时使用的手动和自动化表面清洁策略，并考虑了当前使用抗菌表面预防污染的趋势。
