Borji Soroush, Rostamian Mosayeb, Kadivarian Sepide, Kooti Sara, Dashtbin Shirin, Hosseinabadi Somayeh, Abiri Ramin, Alvandi Amirhooshang
MSc, Department of Microbiology, School of Medicine, Kermanshah University of Medical Sciences, University street, Kermanshah, Iran.
PhD, Infectious Diseases Research Center, Health Institute, Kermanshah University of Medical Sciences, University street, Kermanshah, Iran.
Germs. 2022 Sep 30;12(3):361-371. doi: 10.18683/germs.2022.1340. eCollection 2022 Sep.
Worldwide, infection is becoming one of the most common healthcare-associated infections. Management and control of this infection in healthcare facilities are associated with screening for environmental and instrumental contamination. This systematic review and meta-analysis aimed to assess the overall prevalence of in hospital settings, medical devices, and instruments.
Four main databases, PubMed, Web of Science, Google Scholar, and Scopus, were searched using the keywords , clostridia, spp., hospital environments, antibiotic associate colitis, intensive care unit, and ward in combination as a search strategy. The PRISMA checklist was used for selecting eligible studies.
A total of 11 eligible articles published between 2012 and 2021 were included. The overall pooled prevalence of in hospital environments was 14.9%. The highest and lowest prevalence were reported for India (51.1%) and the USA (1.6%), respectively. The highest prevalence was reported for beds (46.3%). A significant heterogeneity was seen between prevalence in hospital environments in different samples. The highest and lowest prevalence was reported for floor corners (63.2%) and privacy curtains (1.4%), respectively.
In conclusion, hospitals' medical devices and environmental surfaces are considered a crucial source of infection. In this regard, we strongly recommend revising and improving the cleaning and disinfection methods in hospitals and quality control of cleaning adequacy.
在全球范围内，[感染名称]正成为最常见的医疗保健相关感染之一。医疗机构中这种感染的管理和控制与环境和器械污染筛查相关。本系统评价和荟萃分析旨在评估[感染名称]在医院环境、医疗设备和器械中的总体患病率。
使用关键词[感染名称]、梭菌属、[感染名称]菌属、医院环境、抗生素相关性结肠炎、重症监护病房和病房作为检索策略，对四个主要数据库PubMed、Web of Science、Google Scholar和Scopus进行检索。采用PRISMA清单选择符合条件的研究。
共纳入2012年至2021年发表的11篇符合条件的文章。医院环境中[感染名称]的总体合并患病率为14.9%。印度（51.1%）和美国（1.6%）分别报告了最高和最低患病率。病床的患病率最高（46.3%）。不同样本中医院环境中[感染名称]的患病率存在显著异质性。地板角落（63.2%）和隐私帘（1.4%）的患病率分别为最高和最低。
总之，医院的医疗设备和环境表面被认为是[感染名称]感染的重要来源。在这方面，我们强烈建议修订和改进医院的清洁和消毒方法以及清洁充分性的质量控制。
