Torabi Parisa, Azimirad Masoumeh, Hasani Zahra, Afrisham Leili, Alebouyeh Masoud, Mohammad Alizadeh Amir Houshang, Zali Mohammad Reza
Foodborne and Waterborne Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gastroenterology Unit of Ayatollah Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2017 Dec 18;31:104. doi: 10.14196/mjiri.31.104. eCollection 2017.
This study aimed at analyzing microbial contamination in medical equipment, environment, and staff of a gastroenterology unit. Samples of gastrointestinal imaging devices, the environment, and staff were collected using standard swab-rinse technique and biochemical or molecular characteristics of the isolates, their susceptibility to antibiotics, and similarity of the resistance patterns were investigated. Out of 107 samples, bacterial contamination was detected in the hands of staff (54.1%), imaging devices (56.7%), and in the environment (54.5%). While . were detected only in the imaging devices (13.5%), . (32.4% and 31.5%), . (14.3% and 5.9%), (10.8% and 10.5%), and (5.4% and 15.9%) were orderly the most common isolates from samples of the imaging devices and the environment. Nearly, 40% of strains were resistant to cefepime, while resistance to cephalosporins and β-lactamase inhibitor was detected in 33% and 75% of strains, respectively. Homology of resistance patterns was detected between the imaging devices and hands of the staff. Our results proposed biofilm and spore forming bacteria as main contaminants of imaging devices in this hospital. Homology of the resistance patterns proposed involvement of staff in contamination of the equipment.
本研究旨在分析消化内科病房的医疗设备、环境及医护人员的微生物污染情况。采用标准拭子冲洗技术采集胃肠道成像设备、环境及医护人员的样本,并对分离菌株的生化或分子特征、其对抗生素的敏感性以及耐药模式的相似性进行了研究。在107份样本中,医护人员手部(54.1%)、成像设备(56.7%)及环境(54.5%)均检测到细菌污染。仅在成像设备中检测到……(13.5%),……(32.4%和31.5%),……(14.3%和5.9%),……(10.8%和10.5%)以及……(5.4%和15.9%)依次是成像设备样本和环境样本中最常见的分离菌株。近40%的……菌株对头孢吡肟耐药,而分别有33%和75%的……菌株对头孢菌素和β-内酰胺酶抑制剂耐药。在成像设备和医护人员手部检测到耐药模式的同源性。我们的结果表明生物膜和产芽孢细菌是该医院成像设备的主要污染物。耐药模式的同源性表明医护人员参与了设备的污染。