Hambraeus A
J Hyg (Lond). 1973 Dec;71(4):799-814. doi: 10.1017/s0022172400023068.
The contamination of gowns and uniforms worn in a burns unit and the transfer of patient's staphylococci by means of nurses' uniforms was investigated. The median values of staphylococci found on gowns and jackets worn during a routine nursing procedure were 3.0 x 10(4) and 1.4 x 10(3) respectively. From the results of model nursing experiments it appeared as if the fraction of staphylococci transferred from a patient's room to the air in a receiving room was 4 to 10 times less when protective gowns were worn than when no gowns were worn. The corresponding transfer directly to the model ;patient' was 100 times less. The protection afforded by a gown seemed mainly to be due to protection against contamination of the uniform worn underneath when nursing a burned patient. The discrepancy between the transfer of an airborne particle tracer and Staph. aureus-carrying particles earlier found in the ward could be explained by the dispersal of Staph. aureus from nurses' clothing.
对烧伤病房所穿的手术衣和工作服的污染情况以及通过护士工作服传播患者葡萄球菌的情况进行了调查。在常规护理操作过程中,手术衣和工作服上发现的葡萄球菌中位数分别为3.0×10⁴和1.4×10³。从模拟护理实验结果来看,穿着防护服时,从患者房间转移到接收室空气中的葡萄球菌比例比不穿防护服时少4至10倍。直接转移到模拟“患者”身上的情况则少100倍。手术衣提供的防护似乎主要是因为在护理烧伤患者时能防止其下面所穿工作服受到污染。病房中先前发现的空气传播颗粒示踪剂与携带金黄色葡萄球菌颗粒转移情况之间的差异,可以通过护士衣服上金黄色葡萄球菌的扩散来解释。