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沙特阿拉伯一家大型三级护理教学医院中医护人员手机上的细菌定植情况。

The bacterial colonization of healthcare workers' mobile phones in a large tertiary care teaching hospital in Saudi Arabia.

作者信息

Al-Beeshi Nourah Zaab, Alohali Rawa Mosaed, Torchyan Armen A, Somily Ali Mohammed

机构信息

College of Medicine and King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

Department of Family and Community Medicine, College of Medicine and King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.

出版信息

J Infect Dev Ctries. 2021 Sep 30;15(9):1314-1320. doi: 10.3855/jidc.13201.

Abstract

INTRODUCTION

The use of mobile phones by healthcare workers is a risk factor for microorganism transmission in healthcare settings. Pathogenic bacteria such as methicillin-resistant Staphylococcus aureus and gram-negative bacteria like Escherichia coli that are known to cause nosocomial infection have been isolated from mobile phones. In this cross-sectional study, we assess the burden and related risk factors of the bacterial colonization of healthcare workers' mobile phones.

METHODOLOGY

We collected samples from the mobile phones of 130 healthcare workers' in a Saudi Arabian teaching hospital, using moistened cotton swabs. The isolated organisms were identified using an automated identification and susceptibility system. Multiple logistic regression analysis was used to test the data.

RESULTS

Of 130 swabs collected, 45 (34.6%) grew one species and 48 (36.9%) grew two or more. Staphylococcus epidermidis was the most commonly isolated bacteria (52.3%), followed by Micrococcus and related species (25.4%), Staphylococcus hominis (13.8%), and Bacillus species (6.9%). Clinically significant microorganisms such as S. aureus and Pseudomonas sp. were identified in 2 (1.5%) samples, respectively. The odds of mobile phone colonization were 8.5 times higher (95% CI = 3.2-23.1) in the laboratory, neonatal intensive care unit, and medicine departments. Mobile phones owned for more than one year were more likely to be culture positive (OR = 2.9, 95% CI = 1.1-7.6).

CONCLUSIONS

In our study, the prevalence of bacterial colonization among healthcare workers' mobile phones was high. Our findings suggest that high-risk groups for mobile phone colonization-such as laboratory, neonatal intensive care unit, and medicine department staff-should be a priority for preventative measures, to improve infection control.

摘要

引言

医护人员使用手机是医疗机构中微生物传播的一个风险因素。已知会导致医院感染的病原菌,如耐甲氧西林金黄色葡萄球菌和革兰氏阴性菌大肠杆菌,已从手机中分离出来。在这项横断面研究中,我们评估了医护人员手机细菌定植的负担及相关风险因素。

方法

我们在沙特阿拉伯一家教学医院,使用湿润的棉签从130名医护人员的手机上采集样本。使用自动鉴定和药敏系统鉴定分离出的微生物。采用多元逻辑回归分析对数据进行检验。

结果

在采集的130份拭子中,45份(34.6%)培养出一种细菌,48份(36.9%)培养出两种或更多种细菌。表皮葡萄球菌是最常分离出的细菌(52.3%),其次是微球菌及相关菌种(25.4%)、人葡萄球菌(13.8%)和芽孢杆菌属(6.9%)。分别在2份(1.5%)样本中鉴定出具有临床意义的微生物,如金黄色葡萄球菌和假单胞菌属。在实验室、新生儿重症监护病房和内科,手机定植的几率高出8.5倍(95%置信区间=3.2 - 23.1)。拥有超过一年的手机更有可能培养出阳性结果(比值比=2.9,95%置信区间=1.1 - 7.6)。

结论

在我们的研究中,医护人员手机细菌定植的患病率很高。我们的研究结果表明,手机定植的高危人群,如实验室、新生儿重症监护病房和内科工作人员,应作为预防措施的重点对象,以改善感染控制。

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