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新生儿重症监护病房的清洁与消毒:评估方法的相关性

Cleaning and disinfection in neonatal intensive care units: correlation of evaluation methods.

作者信息

Silva Maria Heloisa, Santos Junior Aires Garcia Dos, Alvim André Luiz Silva, Rocha Daniel de Macedo, Souza Verusca Soares de, Sousa Alvaro Francisco Lopes de

机构信息

Universidade Federal do Mato Grosso do Sul. Três Lagoas, Mato Grosso do Sul, Brazil.

Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.

出版信息

Rev Bras Enferm. 2025 Sep 1;78(3):e20240424. doi: 10.1590/0034-7167-2024-0424. eCollection 2025.

DOI:10.1590/0034-7167-2024-0424
PMID:40900565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12408087/
Abstract

OBJECTIVES

to correlate surface cleaning and disinfection monitoring methods in two neonatal intensive care units and compare threshold values for adenosine triphosphate.

METHODS

a correlational study with 864 assessments was conducted using adenosine triphosphate quantification, visual inspection, aerobic colony count, Staphylococcus aureus detection, and resistance testing before and after hygiene procedures.

RESULTS

in Unit A, correlations were found between colony count and Staphylococcus aureus on the counter (phase I; P=0.031) and between adenosine triphosphate and colony count in the incubator (phase II; P=0.001). In Unit B, a correlation was observed between adenosine triphosphate and colony count on the infusion pump (phase I; P=0.045). Threshold values for adenosine triphosphate were lower than 28 relative light units in Unit A and equal to or lower than 38 in Unit B.

CONCLUSIONS

variations were observed in the correlations and threshold values for adenosine triphosphate between the analyzed units.

摘要

目的

关联两个新生儿重症监护病房的表面清洁与消毒监测方法,并比较三磷酸腺苷的阈值。

方法

在卫生程序前后,采用三磷酸腺苷定量、目视检查、需氧菌落计数、金黄色葡萄球菌检测和耐药性测试进行了一项包含864次评估的相关性研究。

结果

在A病房,在柜台处菌落计数与金黄色葡萄球菌之间存在相关性(第一阶段;P=0.031),在培养箱中三磷酸腺苷与菌落计数之间存在相关性(第二阶段;P=0.001)。在B病房,在输液泵上三磷酸腺苷与菌落计数之间观察到相关性(第一阶段;P=0.045)。A病房三磷酸腺苷的阈值低于28相对光单位,B病房则等于或低于38。

结论

在所分析的病房之间,观察到三磷酸腺苷的相关性和阈值存在差异。

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本文引用的文献

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Can the adenosine triphosphate (ATP) bioluminescence assay be used as an indicator for hospital cleaning? - A pilot study.三磷酸腺苷(ATP)生物发光测定法能否用作医院清洁的指标?——一项初步研究。
GMS Hyg Infect Control. 2024 Feb 21;19:Doc07. doi: 10.3205/dgkh000462. eCollection 2024.
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How long do nosocomial pathogens persist on inanimate surfaces? A scoping review.医院病原体在无生命表面上能存活多久? 范围综述。
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Applicability of the ATP assay in monitoring the cleanliness of hospital environments.
ATP 检测法在监测医院环境清洁度方面的适用性。
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Detection of Methicillin-Resistant among Foodborne Pathogenic Strains and Assessment of Their Adhesion Ability and Cytotoxic Effects in HCT-116 Cells.食源性病原体菌株中耐甲氧西林的检测及其对HCT-116细胞的黏附能力和细胞毒性作用评估。
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Monitoring of surface cleaning and disinfection in a Brazilian pediatric unit.巴西一家儿科病房的表面清洁与消毒监测
Ther Adv Infect Dis. 2023 Jan 10;10:20499361221148007. doi: 10.1177/20499361221148007. eCollection 2023 Jan-Dec.
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Evaluating the environmental microbiota across four National Health Service hospitals within England.评估英格兰四家国民保健署医院的环境微生物组。
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Comparing the microbial removal efficacy of new and reprocessed microfiber on health care surfaces.比较新的和再处理的超细纤维对医疗保健表面的微生物去除效果。
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Hospital and long-term care facility environmental service workers' training, skills, activities and effectiveness in cleaning and disinfection: a systematic review.医院和长期护理机构环境服务工人的培训、技能、清洁和消毒活动及效果:系统评价。
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Impact of environmental hygiene interventions on healthcare-associated infections and patient colonization: a systematic review.环境卫生干预措施对医源性感染和患者定植的影响:系统评价。
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