医院内的克雷伯氏菌。II. 在医院病房内的传播

Nosocomial klebsiellas. II. Transfer in a hospital ward.

作者信息

Haverkorn M J, Michel M F

出版信息

J Hyg (Lond). 1979 Apr;82(2):195-205. doi: 10.1017/s0022172400025614.

DOI:10.1017/s0022172400025614

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2130137/

Abstract

During a 6-month period an epidemiological survey of the carriage of Klebsiella was conducted in a hospital ward where no outbreak of nosocomial infection occurred. In this endemic situation the regular sampling of several sites of patients, members of the nursing staff, and the environment, and the biotyping of Klebsiella made it possible to analyse the patterns of transmission between sites. There was abundant evidence for striking transmission of Klebsiella between the throat, hands, and faeces of patients. Transmission between patients seemed to be mainly through hands. The role of nurses' hands in transmission was not evident from this survey, probably due to the relatively long interval (a week) between samplings. Through the hands of patients, wash stands and the surrounding floor were contaminated with Klebsiella. The biotyping of Klebsiella facilitated the epidemiological analysis of the results.

摘要

在6个月的时间里，对一家未发生医院感染暴发的医院病房进行了克雷伯菌携带情况的流行病学调查。在这种地方流行的情况下，对患者的多个部位、护理人员以及环境进行定期采样，并对克雷伯菌进行生物分型，从而能够分析不同部位之间的传播模式。有充分证据表明，克雷伯菌在患者的咽喉、手部和粪便之间存在显著传播。患者之间的传播似乎主要通过手部。本次调查中护士手部在传播中的作用并不明显，可能是由于采样间隔时间相对较长（一周）。通过患者的手，洗涤台及其周围地面被克雷伯菌污染。克雷伯菌的生物分型有助于对结果进行流行病学分析。

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