Prasek Karolina, Kiersnowska Iwona, Wójkowska-Mach Jadwiga, Różańska Anna, Romaniszyn Dorota, Foryciarz Ewelina, Kwiećkowska Lucyna Barbara, Krzych-Fałta Edyta
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.
Microorganisms. 2025 Mar 20;13(3):698. doi: 10.3390/microorganisms13030698.
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.
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。