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手术室麻醉工作区设备和表面的污染:一项横断面研究。

Contamination of equipment and surfaces in the operating room anesthesia workspace: a cross-sectional study.

机构信息

MD. Physician, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil.

PhD. Nurse, Full Professor, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Três Lagoas (MS), Brazil.

出版信息

Sao Paulo Med J. 2024 Feb 23;142(4):e2023177. doi: 10.1590/1516-3180.2023.0177.R1.291123. eCollection 2024.

Abstract

BACKGROUND

Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection.

OBJECTIVE

To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation.

DESIGN AND SETTING

Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul.

METHODS

Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed.

RESULTS

A higher occurrence of E. coli, Enterobacter spp., Pseudomonas spp., Staphylococcus aureus, and Streptococcus pneumoniae (P < 0.001) were observed. Variations were observed depending on the culture medium and sample collection site.

CONCLUSION

The study findings underscore the inadequate disinfection of the inspiratory and expiratory branches, highlighting the importance of stringent cleaning and disinfection of high-touch surfaces.

摘要

背景

麻醉机呼吸回路和药物准备表面的污染会增加交叉感染的风险。

目的

评估辅助机械通气全身麻醉中麻醉药物准备表面、呼吸回路和设备的污染情况。

设计和设置

在位于巴西马托格罗索州东部特雷斯洛加兹市的一家慈善医院的外科中心进行的横断面、定量研究。

方法

从呼吸回路中采集了 82 个微生物样本。在不同的培养基中重复采样后,共进行了 328 次分析。

结果

观察到大肠杆菌、肠杆菌属、铜绿假单胞菌、金黄色葡萄球菌和肺炎链球菌的发生率更高(P<0.001)。不同的培养基和采样部位观察到了变化。

结论

研究结果强调了吸气和呼气分支消毒不充分的问题,突出了严格清洁和高接触表面消毒的重要性。

相似文献

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Contamination of anesthesia circuits by pathogens.麻醉回路被病原体污染。
Rev Bras Anestesiol. 2011 Jan-Feb;61(1):50-9. doi: 10.1016/S0034-7094(11)70006-X.

本文引用的文献

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[SBA 2020: Regional anesthesia safety recommendations update].[2020年英国麻醉医师协会:区域麻醉安全建议更新]
Braz J Anesthesiol. 2020 Jul-Aug;70(4):398-418. doi: 10.1016/j.bjan.2020.02.005. Epub 2020 May 12.
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Infection prevention in the operating room anesthesia work area.手术室麻醉工作区域的感染预防
Infect Control Hosp Epidemiol. 2019 Jan;40(1):1-17. doi: 10.1017/ice.2018.303. Epub 2018 Dec 11.
8
2018 recommendations for the management of community acquired pneumonia.2018年社区获得性肺炎管理指南
J Bras Pneumol. 2018 Sep-Oct;44(5):405-423. doi: 10.1590/S1806-37562018000000130.

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