Amod Fariha, Swalaha Feroz M, Reddy Poovendhree
Department of Chiropractic, Durban University of Technology, Durban, KwaZulu-Natal, South Africa.
Department of Biotechnology and Food Technology, Durban University of Technology, Durban, KwaZulu-Natal, South Africa.
J Chiropr Med. 2021 Jun;20(2):43-52. doi: 10.1016/j.jcm.2021.08.001. Epub 2021 Oct 26.
This study aimed to measure the amount of bacteria that may be transferred from patient to chiropractor during spinal manipulation and the efficacy of decontaminants commonly used by chiropractic practitioners.
We chose Kwazulu-Natal, South Africa as the location, which is an area with an increased burden of immunocompromised patients resulting from HIV and tuberculosis. In this region, we obtained samples from 40 chiropractors' hands before and after spinal manipulation. Viable counts of colony-forming units were enumerated to verify the presence of bacteria. A modified Kirby-Bauer technique was used to ascertain the efficacy of the top 5 decontaminants used by chiropractors in this area against the bacteria isolated from their hands.
Both normal microflora and potentially pathogenic bacteria were found. These included spp., spp., spp., spp., spp., and . Higher bacterial counts were found on chiropractors' hands after patient contact for spinal manipulation, which are similar to findings from studies of other healthcare personnel. The 5 commonly used disinfectants tested in a lab setting were not as effective against bacterial samples when compared with an antimicrobial pharmaceutical medication.
The net transfer of bacteria to chiropractors' hands from the patient to the practitioner during spinal manipulation included primary and opportunistic pathogens. The detergents commonly used by chiropractors in this region showed varying efficacies against microbial growth when tested in vitro
本研究旨在测量在脊柱推拿过程中可能从患者转移至脊椎按摩师的细菌数量，以及脊椎按摩师常用去污剂的效果。
我们选择南非夸祖鲁 - 纳塔尔作为研究地点，该地区因艾滋病毒和结核病导致免疫功能低下患者负担加重。在该地区，我们在脊柱推拿前后从40名脊椎按摩师的手上获取样本。对菌落形成单位的活菌计数进行枚举以验证细菌的存在。采用改良的 Kirby - Bauer 技术来确定该地区脊椎按摩师使用的前5种去污剂对从他们手上分离出的细菌的效果。
发现了正常微生物群和潜在病原菌。这些包括 spp.、 spp.、 spp.、 spp.、 spp. 和 。脊椎按摩师在与患者进行脊柱推拿接触后手上的细菌计数更高，这与其他医护人员的研究结果相似。与抗菌药物相比，在实验室环境中测试的5种常用消毒剂对细菌样本的效果不佳。
在脊柱推拿过程中，从患者转移至脊椎按摩师手上的细菌净转移包括主要病原体和机会性病原体。该地区脊椎按摩师常用的洗涤剂在体外测试时对微生物生长的效果各不相同
