Kalpana Pachillu, Trivedi Poonam, Bhavsar Priya, Patel Krupali, Yasobant Sandul, Saxena Deepak
Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar 382042, India.
Parul Institute of Public Health, Parul University, Waghodia 391760, India.
Healthcare (Basel). 2022 Mar 30;10(4):648. doi: 10.3390/healthcare10040648.
The main objective of this study was to determine the microbial contamination and antimicrobial resistance pattern among isolated bacteria from the environment surfaces of maternity units and labor rooms of healthcare facilities in the Gujarat state of India. The cross-sectional study was conducted in ten healthcare facilities, where the microbiological swab samples were collected from various pre-decided environmental surfaces of the maternity and labor rooms as part of the Water, Sanitation and Hygiene (WASH) assessment. The swabs were analyzed by conventional microbiological culture methods to identify microorganisms, including antimicrobial susceptibility testing. The study provides an insight into the microbial contamination of the visibly clean areas, i.e., the maternity ward, labor room, and general wards of the healthcare facilities. The labor rooms were found to be highly contaminated in comparison to other selected sites. The microbiological findings revealed a predominance of Gram-negative bacteria, specifically species. The antibiotic susceptibility testing indicates resistance against many commonly used antibiotics. This study produces an identified necessity for enhancing microbiological surveillance in labor rooms and maternity units. This study also highlights the importance of microbiological status along with the WASH status of healthcare facilities.
本研究的主要目的是确定印度古吉拉特邦医疗机构产科病房和产房环境表面分离出的细菌中的微生物污染情况及抗菌药物耐药模式。这项横断面研究在十家医疗机构开展，作为水、环境卫生与个人卫生（WASH）评估的一部分，从产科和产房预先确定的各个环境表面采集微生物拭子样本。通过传统微生物培养方法对拭子进行分析，以鉴定微生物，包括抗菌药物敏感性测试。该研究深入了解了医疗机构中明显清洁区域，即产科病房、产房和普通病房的微生物污染情况。与其他选定地点相比，产房被发现污染程度很高。微生物学研究结果显示革兰氏阴性菌占主导，特别是 菌属。抗生素敏感性测试表明对许多常用抗生素存在耐药性。本研究明确了加强产房和产科病房微生物监测的必要性。该研究还强调了医疗机构微生物状况以及WASH状况的重要性。
