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终末病房消毒后病房内不同环境部位医疗保健相关病原体的微生物评估

Microbial Assessment of Health Care-Associated Pathogens on Various Environmental Sites in Patient Rooms After Terminal Room Disinfection.

作者信息

Kanamori Hajime, Rutala William A, Gergen Maria F, Sickbert-Bennett Emily E, Knelson Lauren P, Anderson Deverick J, Sexton Daniel J, Weber David J

机构信息

Department of Infectious Diseases, Internal Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Division of Infectious Diseases, University of North Carolina, Chapel Hill, North Carolina, USA.

出版信息

Open Forum Infect Dis. 2021 Jan 4;8(2):ofab008. doi: 10.1093/ofid/ofab008. eCollection 2021 Feb.

DOI:10.1093/ofid/ofab008
PMID:33575427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7863860/
Abstract

We examined the microbial burden on hospital room environmental sites after standard (quaternary ammonium [Quat]) or enhanced disinfection (quat/ultraviolet light [UV-C], bleach, or bleach/UV-C). An enhanced terminal room disinfection reduced the microbial burden of epidemiologically important pathogens on high-touch surfaces in patient rooms, especially sites around the bed, better than standard room disinfection.

摘要

我们检测了在进行标准消毒(季铵盐 [Quat])或强化消毒(季铵盐/紫外线 [UV-C]、含氯消毒剂或含氯消毒剂/紫外线 [UV-C])后医院病房环境表面的微生物负荷。与标准病房消毒相比,强化的终末病房消毒能更好地降低病房高接触表面上具有流行病学重要意义的病原体的微生物负荷,尤其是床周围的部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/470c/7863860/ada2c343ad6f/ofab008_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/470c/7863860/ada2c343ad6f/ofab008_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/470c/7863860/ada2c343ad6f/ofab008_fig1.jpg

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本文引用的文献

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Infect Control Hosp Epidemiol. 2018 Sep;39(9):1118-1121. doi: 10.1017/ice.2018.165. Epub 2018 Jul 31.
2
No-Touch Disinfection Methods to Decrease Multidrug-Resistant Organism Infections: A Systematic Review and Meta-analysis.无接触式消毒方法降低多重耐药菌感染:系统评价和荟萃分析。
Infect Control Hosp Epidemiol. 2018 Jan;39(1):20-31. doi: 10.1017/ice.2017.226. Epub 2017 Nov 16.
3
Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study.
临床耐万古霉素屎肠球菌分离株对移动源紫外线 C 光的耐受性。
Antimicrob Resist Infect Control. 2023 Jul 4;12(1):63. doi: 10.1186/s13756-023-01259-3.
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Efficacy of Environmental Cleaning Protocol Featuring Real-Time Feedback with and without PX-UV in Reducing the Contamination of Gram-Negative Microorganisms on High-Touch Surfaces in Four Intensive Care Units in Thailand.采用实时反馈且有或无PX-UV的环境清洁方案在泰国四个重症监护病房减少高接触表面革兰氏阴性微生物污染方面的效果
Antibiotics (Basel). 2023 Feb 22;12(3):438. doi: 10.3390/antibiotics12030438.
强化终末病房消毒与多重耐药菌及艰难梭菌所致获得性感染(强化终末病房消毒的益处研究):一项整群随机、多中心、交叉研究。
Lancet. 2017 Feb 25;389(10071):805-814. doi: 10.1016/S0140-6736(16)31588-4. Epub 2017 Jan 17.
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