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病房内高营养输液溶液避光袋的细菌污染。

Bacterial contamination of lightproof covers for high-calorie infusion solutions in wards.

机构信息

Department of Pharmacy, Kawanishi City Hospital.

Faculty of Pharmacy, Osaka Ohtani University.

出版信息

Int J Med Sci. 2021 Sep 23;18(16):3708-3711. doi: 10.7150/ijms.62193. eCollection 2021.

Abstract

Deterioration of drugs due to light exposure is one of the major concerns, especially regarding protection of high-calorie infusion solutions, lightproof covers are used in hospitals. In the absence of any set standards regarding their usage, they are often reused. This study aimed to investigate bacterial contamination of lightproof covers used in hospital wards. For this, lightproof covers which had been used or stored in wards were collected and bacterial cultures were carried out from them. Examination of the cultures revealed that bacteria were present in the used lightproof covers. The bacterial species detected in the used lightproof covers were species Coagulase-negative (CNS) and Methicillin-resistant (MRSA). species and CNS were also detected in lightproof covers stored in wards, whereas MRSA was not detected. Intestinal bacteria were detected in only one lightproof cover. However, no bacteria were detected from either inside or outside of the unused lightproof covers that were stored in the drugs department. After allowing the unused lightproof covers stored in the drugs department to stand for 24 h, species and CNS were detected in only one of the covers, whereas no bacteria was detected in other covers. These results indicate that there is a risk of bacterial contamination in the reuse of lightproof covers and that they should either be disposed off properly after usage or hand, finger disinfectants should be used while handling them to prevent any possible contamination.

摘要

由于光照而导致药物劣化是一个主要关注点,尤其是对于高热量输液溶液的保护,医院会使用避光罩。由于目前缺乏关于避光罩使用的既定标准,它们经常被重复使用。本研究旨在调查医院病房中使用的避光罩的细菌污染情况。为此,收集了已在病房中使用或储存的避光罩,并对其进行了细菌培养。培养结果显示,使用过的避光罩中存在细菌。从使用过的避光罩中检测到的细菌种类为凝固酶阴性菌(CNS)和耐甲氧西林金黄色葡萄球菌(MRSA)。在病房中储存的避光罩中也检测到了 CNS 和 CNS,但未检测到 MRSA。仅在一个避光罩中检测到肠道细菌。然而,在药品部门储存的未使用避光罩内部或外部均未检测到细菌。在允许存放在药品部门的未使用避光罩静置 24 小时后,仅在一个避光罩中检测到了 CNS 和 CNS,而其他避光罩中未检测到细菌。这些结果表明,避光罩重复使用存在细菌污染的风险,因此,它们在使用后应妥善处理,或者在处理它们时应使用手部、手指消毒剂,以防止任何可能的污染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c11/8579297/5a1094a91911/ijmsv18p3708g001.jpg

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