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门诊诊所高接触表面的微生物污染:来自患者和医护人员活动区域的细菌菌株鉴定

Microbial Contamination on High-Touch Surfaces in Outpatient Clinics: Identification of Bacterial Strains from Areas of Patient and Medical Staff Occupancy.

作者信息

Prasek Karolina, Kiersnowska Iwona, Wójkowska-Mach Jadwiga, Różańska Anna, Romaniszyn Dorota, Foryciarz Ewelina, Kwiećkowska Lucyna Barbara, Krzych-Fałta Edyta

机构信息

Department of Nursing Propedeutics, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland.

Department of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, 31-121 Krakow, Poland.

出版信息

Microorganisms. 2025 Mar 20;13(3):698. doi: 10.3390/microorganisms13030698.

DOI:10.3390/microorganisms13030698
PMID:40142590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11945162/
Abstract

Clinics and hospitals inherently increase the risk of adverse events, including hospital-acquired infections (HAIs) transmitted between healthcare personnel and patients. This study aimed to identify bacterial strains present on frequently touched surfaces in outpatient clinics used by patients as well as medical and non-medical personnel. This study was conducted in four outpatient care centers located in two major cities in Poland. A total of 85 samples were collected from frequently touched surfaces, including 53 samples from areas accessed by patients and 32 samples from surfaces used by medical staff. A statistically significant increase in moderate-to-heavy growth was observed in samples containing microbiota compared to those containing other microorganisms ( = 0.003). Similarly, a higher prevalence of spore-forming bacteria was noted compared to non-spore-forming bacteria ( = 0.001). A significant difference was also observed between samples with no or scant growth versus those with moderate-to-heavy growth in both the microbiota and other microorganism groups ( = 0.003), as well as between the spore-forming and non-spore-forming groups ( = 0.001). The findings of this study prompted revisions in cleaning procedures. The frequency of training for medical staff was increased, and systematic quality control of the cleaning company's performance was implemented.

摘要

诊所和医院本身会增加不良事件的风险,包括医护人员与患者之间传播的医院获得性感染(HAIs)。本研究旨在确定患者以及医护和非医护人员使用的门诊诊所中经常接触表面上存在的细菌菌株。本研究在波兰两个主要城市的四个门诊护理中心进行。共从经常接触的表面采集了85个样本,其中包括53个来自患者可接触区域的样本和32个来自医护人员使用表面的样本。与含有其他微生物的样本相比,含有微生物群的样本中观察到中度至重度生长有统计学显著增加( = 0.003)。同样,与非芽孢形成细菌相比,芽孢形成细菌的患病率更高( = 0.001)。在微生物群和其他微生物组中,无生长或生长稀少的样本与中度至重度生长的样本之间也观察到显著差异( = 0.003),在芽孢形成和非芽孢形成组之间也观察到显著差异( = 0.001)。本研究结果促使对清洁程序进行修订。增加了医护人员的培训频率,并对清洁公司的表现实施了系统的质量控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b3/11945162/e18da49631c7/microorganisms-13-00698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b3/11945162/e18da49631c7/microorganisms-13-00698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b3/11945162/e18da49631c7/microorganisms-13-00698-g001.jpg

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本文引用的文献

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Evaluation of the Efficacy of UV-C Radiation in Eliminating Microorganisms of Special Epidemiological Importance from Touch Surfaces under Laboratory Conditions and in the Hospital Environment.评估紫外线C辐射在实验室条件及医院环境下从接触表面消除具有特殊流行病学重要性的微生物的效果。
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Practical recommendations for routine cleaning and disinfection procedures in healthcare institutions: a narrative review.医疗机构日常清洁与消毒程序的实用建议:叙述性综述。
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The impact of COVID-19 pandemic on hand hygiene performance in hospitals.COVID-19 大流行对医院手卫生性能的影响。
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Microbiological assessment of cleanliness of surfaces and equipment in a children's operating theatre on the example of a selected hospital.以某选定医院为例,对儿童手术室的表面和设备清洁度进行微生物学评估。
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