Parkes Leighanne O, Hota Susy S
Department of Medicine, Division of Infectious Diseases, Jewish General Hospital, McGill University, Pavilion E-0054, 3755 Chemin de la Cote-Sainte-Catherine, Montreal, QC, H3T 1E2, Canada.
Department of Medicine, Division of Infectious Diseases, University of Toronto, Toronto, ON, Canada.
Curr Infect Dis Rep. 2018 Aug 20;20(10):42. doi: 10.1007/s11908-018-0648-3.
In this review, we summarize recent outbreaks attributed to hospital sinks and examine design features and behaviors that contributed to these outbreaks. The effectiveness of various risk mitigation strategies is presented. Finally, we examine investigational strategies targeted at reducing the risk of sink-related infections.
Outbreaks of hospital sink-related infections involve a diverse spectrum of microorganisms. They can be attributed to defects in sink design and hospital wastewater systems that promote the formation and dispersion of biofilm, as well as healthcare practitioner and patient behaviors. Risk mitigation strategies are often bundled; while they may reduce clinical cases, sink colonization may persist. Novel approaches targeting biofilms show promise but require more investigation. Emphasis should be placed on optimizing best practices in sink design and placement to prevent infections. Hospitals should consider developing a rational surveillance and prevention strategy based on the current design and state of their sinks.
在本综述中，我们总结了近期归因于医院水槽的疫情，并研究了导致这些疫情的设计特点和行为。介绍了各种风险缓解策略的有效性。最后，我们研究了旨在降低水槽相关感染风险的调查策略。
医院水槽相关感染的疫情涉及多种微生物。它们可归因于水槽设计和医院废水系统中的缺陷，这些缺陷会促进生物膜的形成和扩散，以及医护人员和患者的行为。风险缓解策略通常是综合使用的；虽然它们可能会减少临床病例，但水槽定植可能会持续存在。针对生物膜的新方法显示出前景，但需要更多研究。应强调优化水槽设计和安装的最佳实践以预防感染。医院应考虑根据其水槽的当前设计和状况制定合理的监测和预防策略。
