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当前 COVID-19 疫情下医院表面细菌病原体的污染。

Contamination of Hospital Surfaces with Bacterial Pathogens under the Current COVID-19 Outbreak.

机构信息

Federal State Budget Institution "National Research Centre for Epidemiology and Microbiology Named after Honorary Academician N F Gamaleya" of the Ministry of Health of the Russian Federation, 123098 Moscow, Russia.

Department of Virology, Biological Faculty, Lomonosov Moscow State University, 119991 Moscow, Russia.

出版信息

Int J Environ Res Public Health. 2021 Aug 27;18(17):9042. doi: 10.3390/ijerph18179042.

Abstract

The SARS-CoV-2 pandemic remains a global health issue for several reasons, such as the low vaccination rates and a lack of developed herd immunity to the evolution of SARS-CoV-2, as well as its potential inclination to elude neutralizing antibodies. It should be noted that the severity of the COVID-19 disease is significantly affected by the presence of co-infections. Comorbid conditions are caused not only by pathogenic and opportunistic microorganisms but also by some representatives of the environmental microbiome. The presence of patients with moderate and severe forms of the disease in hospitals indicates the need for epidemiological monitoring of (1) bacterial pathogens circulating in hospitals, especially the ESKAPE group pathogens, and (2) the microbiome of various surfaces in hospitals. In our study, we used combined methods based on PCR and NGS sequencing, which are widely used for epidemiological monitoring. Through this approach, we identified the DNA of pathogenic bacteria (, , , CoNS, and spp.) on various surfaces. We also estimated the microbiome diversity of surfaces and identified the potential reservoirs of infections using 16S rRNA profiling. Although we did not assess the viability of identified microorganisms, our results indicate the possible risks of insufficient regular disinfection of surfaces, regardless of department, at the Infectious Diseases Hospital. Controlling the transmission of nosocomial diseases is critical to the successful treatment of COVID-19 patients, the rational use of antimicrobial drugs, and timely decontamination measures.

摘要

由于多种原因,SARS-CoV-2 大流行仍然是一个全球性的健康问题,例如疫苗接种率低,以及针对 SARS-CoV-2 的进化缺乏已建立的群体免疫,以及其逃避中和抗体的潜在倾向。值得注意的是,COVID-19 疾病的严重程度受到合并感染的显著影响。合并症不仅由致病和机会性病原体引起,还由环境微生物组的一些代表引起。医院中存在中度和重度疾病患者表明需要对(1)在医院中循环的细菌病原体进行流行病学监测,特别是 ESKAPE 组病原体,以及(2)医院中各种表面的微生物组进行监测。在我们的研究中,我们使用了基于 PCR 和 NGS 测序的组合方法,这些方法广泛用于流行病学监测。通过这种方法,我们在各种表面上鉴定出了致病性细菌(,,,CoNS 和 spp.)的 DNA。我们还通过 16S rRNA 分析评估了表面微生物组的多样性,并确定了感染的潜在储库。尽管我们没有评估鉴定出的微生物的活力,但我们的结果表明,传染病医院无论在哪个科室,都可能存在表面定期消毒不足的风险。控制医院内疾病的传播对于 COVID-19 患者的成功治疗、抗菌药物的合理使用和及时的消毒措施至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7709/8431522/983db9a3fdc3/ijerph-18-09042-g001.jpg

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