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哈科特港大学教学医院门把手上细菌的发生情况与流行程度及其多重耐药性影响

Occurrence and prevalence of bacteria on door handles at the University of Port Harcourt Teaching Hospital and the multidrug resistance implications.

作者信息

Edi Deinmo, Ejiohuo Ovinuchi, Ordinioha Best

机构信息

The Department of Preventive and Social Medicine, Faculty of Clinical Sciences, University of Port Harcourt, Port Harcourt, Rivers State, Nigeria.

Department of Pharmacognosy and Biomaterials, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Access Microbiol. 2023 Jul 12;5(7). doi: 10.1099/acmi.0.000615.v4. eCollection 2023.

Abstract

UNLABELLED

The coronavirus disease 2019 (COVID-19) pandemic has heightened concerns regarding transmitting hospital-acquired infections through high-contact points in healthcare facilities, such as door handles, which can serve as reservoirs for pathogenic micro-organisms. With the increased infectivity of the serious acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, there is greater awareness of the risk of multidrug-resistant bacteria on these surfaces, necessitating strict surveillance prevention protocols. This study assesses the occurrence and prevalence of bacteria on toilet door handles at the University of Port Harcourt Teaching Hospital in Nigeria and the multidrug resistance implications. We examined the hospital infection level and overall sanitary conditions. Experimental data from our study on hospital door handles in different locations were assessed. Eighty-six samples were collected from toilet door handles at the University of Port Harcourt Teaching Hospital. Ethical approval was obtained from the hospital departments and the university research ethics committee. Samples from private offices and doors without handles were excluded. Bacteria were isolated from the samples, and antibiotic sensitivity testing was performed. Of the 329 bacteria isolated, 55.5 % were Gram-positive and 44.4 % Gram-negative. The most prevalent bacteria were , followed by sp. The prevalence of multidrug-resistant bacteria was also low, with sp. having the highest prevalence of 28.57%, followed by sp. at 3.45 % and at 1.96 %.

CONCLUSION

The results show that, despite the occurrence of pathogenic micro-organisms, there has been a reduction in the prevalence of multidrug-resistant bacteria strains. This study can be used as an example for environmental microbiological surveillance in suspected outbreak investigations and assessment of sanitary conditions and the prevalence of multidrug-resistant bacteria in healthcare facilities.

摘要

未标注

2019年冠状病毒病(COVID - 19)大流行加剧了人们对通过医疗设施中的高接触点(如门把手)传播医院获得性感染的担忧,这些高接触点可能成为致病微生物的储存源。随着严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒传染性的增加,人们更加意识到这些表面存在多重耐药细菌的风险,因此需要严格的监测预防方案。本研究评估了尼日利亚哈科特港大学教学医院卫生间门把手细菌的发生情况和流行率以及多重耐药性影响。我们检查了医院感染水平和整体卫生状况。对我们在不同地点医院门把手研究的实验数据进行了评估。从哈科特港大学教学医院卫生间门把手上采集了86个样本。获得了医院科室和大学研究伦理委员会的伦理批准。排除了私人办公室和没有把手的门的样本。从样本中分离出细菌,并进行了抗生素敏感性测试。在分离出的329株细菌中,55.5%为革兰氏阳性菌,44.4%为革兰氏阴性菌。最常见的细菌是 ,其次是 菌属。多重耐药细菌的流行率也较低, 菌属的流行率最高,为28.57%,其次是 菌属,为3.45%, 为1.96%。

结论

结果表明,尽管存在致病微生物,但多重耐药细菌菌株的流行率有所下降。本研究可作为疑似疫情调查中环境微生物监测以及评估医疗设施卫生状况和多重耐药细菌流行率的范例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5ce/10436018/20255efa0bf9/acmi-5-615.v4-g001.jpg

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