携带革兰氏阴性杆菌和金黄色葡萄球菌。
Hand carriage of gram-negative bacilli and Staphylococcus aureus.
作者信息
Bruun J N, Solberg C O
出版信息
Br Med J. 1973 Jun 9;2(5866):580-2. doi: 10.1136/bmj.2.5866.580.
Abstract
The influence of hexachlorophane disinfection on the bacterial hand flora of hospital personnel has been examined. Hexachlorophane effectively reduced the total number of bacteria and the staphylococcal carriage. Gram-negative bacilli were isolated from 18.8% of the personnel, and 13% of the carriers continued to carry Gram-negative bacilli for more than six months. The carrier rate was significantly higher among those using hexachlorophane detergents (20.8%) than among those using plain soap (14.1%). Prolonged hand carriage of Gram-negative bacilli was often associated with skin irritation, especially of the nailfolds. Hand carriage may be an important source of Gram-negative infections in hospital, and the increase in these infections may partly be due to extensive use of hexachlorophane preparations.
摘要
已对六氯酚消毒对医院工作人员手部细菌菌群的影响进行了研究。六氯酚能有效减少细菌总数和葡萄球菌携带情况。18.8%的工作人员分离出革兰氏阴性杆菌，13%的携带者持续携带革兰氏阴性杆菌超过六个月。使用六氯酚洗涤剂的人员（20.8%）的携带率显著高于使用普通肥皂的人员（14.1%）。革兰氏阴性杆菌的长期手部携带通常与皮肤刺激有关，尤其是甲沟处。手部携带可能是医院革兰氏阴性感染的重要来源，这些感染的增加可能部分归因于六氯酚制剂的广泛使用。
相似文献
1
Hand carriage of gram-negative bacilli and Staphylococcus aureus.携带革兰氏阴性杆菌和金黄色葡萄球菌。
Br Med J. 1973 Jun 9;2(5866):580-2. doi: 10.1136/bmj.2.5866.580.
2
Effectiveness of hand washing and disinfection methods in removing transient bacteria after patient nursing.患者护理后洗手和消毒方法对去除暂居菌的效果。
J Hyg (Lond). 1980 Oct;85(2):193-203. doi: 10.1017/s0022172400063221.
3
Disinfection of the skin: an assessment of some new preparations.皮肤消毒：对一些新制剂的评估。
Br Med J. 1971 Sep 18;3(5776):674-6. doi: 10.1136/bmj.3.5776.674.
4
Comparative antibacterial activity of hexachlorophane in different formulations used for skin disinfection.用于皮肤消毒的不同配方中六氯酚的抗菌活性比较。
J Clin Pathol. 1969 Jan;22(1):90-8. doi: 10.1136/jcp.22.1.90.
5
Disinfection of the skin with detergent preparations of Irgasan DP 300 and other antiseptics.使用三氯生DP 300洗涤剂制剂和其他防腐剂对皮肤进行消毒。
Br Med J. 1974 Nov 16;4(5941):372-4. doi: 10.1136/bmj.4.5941.372.
6
Multicenter Study of Hand Carriage of Potential Pathogens by Neonatal ICU Healthcare Personnel.新生儿重症监护病房医护人员手部潜在病原体携带情况的多中心研究
J Pediatric Infect Dis Soc. 2015 Sep;4(3):276-9. doi: 10.1093/jpids/piu022. Epub 2014 Mar 30.
7
8
The importance of soap selection for routine hand hygiene in hospital.医院日常手部卫生中肥皂选择的重要性。
J Hyg (Lond). 1981 Jun;86(3):275-83. doi: 10.1017/s0022172400069023.
9
Gram-negative bacilli associated with catheter-associated and non-catheter-associated bloodstream infections and hand carriage by healthcare workers in neonatal intensive care units.与新生儿重症监护病房中与导管相关和非导管相关血流感染以及医护人员手部携带相关的革兰氏阴性杆菌。
Pediatr Crit Care Med. 2005 Jul;6(4):457-61. doi: 10.1097/01.PCC.0000163669.37340.91.
10
Antimicrobial resistant bacteria among health care workers in intensive care units at Ain Shams University Hospitals.
J Egypt Soc Parasitol. 2010 Apr;40(1):71-83.
引用本文的文献
1
A near-fatal case of sepsis with an antibiotic-resistant organism complicating a routine transrectal prostate biopsy in a health care worker.一名医护人员在进行常规经直肠前列腺活检时，因感染一种耐抗生素的生物体而发生了近乎致命的败血症病例。
Can Urol Assoc J. 2008 Oct;2(5):543-5. doi: 10.5489/cuaj.926.
2
Hygiene of the skin: when is clean too clean?皮肤卫生：清洁到什么程度才算过度清洁？
Emerg Infect Dis. 2001 Mar-Apr;7(2):225-30. doi: 10.3201/eid0702.010215.
3
Hand carriage of aerobic Gram-negative rods by health care personnel.医护人员手部携带需氧革兰氏阴性杆菌的情况。
J Hyg (Lond). 1982 Aug;89(1):23-31. doi: 10.1017/s0022172400070509.
4
Pseudomonas aeruginosa in the intensive care unit.重症监护病房中的铜绿假单胞菌。
Intensive Care Med. 1982;8(6):279-82. doi: 10.1007/BF01716738.
5
Hand carriage of aerobic gram-negative rods may not be transient.需氧革兰氏阴性杆菌的手部携带可能并非短暂性的。
J Hyg (Lond). 1982 Aug;89(1):33-46. doi: 10.1017/s0022172400070510.
6
Handwashing and antiseptic-containing soaps in hospital.医院中的洗手与含抗菌剂肥皂
J Clin Pathol. 1979 Jul;32(7):732-7. doi: 10.1136/jcp.32.7.732.
7
Failure of hand disinfection with frequent hand washing: a need for prolonged field studies.频繁洗手导致手部消毒失败：需要进行长期的现场研究。
J Hyg (Lond). 1977 Aug;79(1):107-19. doi: 10.1017/s0022172400052906.
本文引用的文献
1
Disinfection of the hands of surgeons and nurses.外科医生和护士的手部消毒
Br Med J. 1960 May 14;1(5184):1445-50. doi: 10.1136/bmj.1.5184.1445.
2
HOSPITAL INFECTIONS AND HOSPITAL HYGIENE AT MALMOE GENERAL HOSPITAL. 2. HYGIENIC MEASURES AND THEIR CORRELATION WITH THE INCIDENCE OF INFECTION.马尔默综合医院的医院感染与医院卫生。2. 卫生措施及其与感染发生率的相关性。
J Hyg (Lond). 1965 Mar;63(1):35-48. doi: 10.1017/s0022172400044946.
3
HAND HYGIENE.
Scott Med J. 1965 Mar;10:115-25. doi: 10.1177/003693306501000304.
4
METHODS FOR DISINFECTION OF HANDS AND OPERATION SITES.手部及手术部位的消毒方法
Br Med J. 1964 Aug 29;2(5408):531-6. doi: 10.1136/bmj.2.5408.531.
5
THE INTERMITTENT USE OF HEXACHLOROPHENE SOAP--A CONTROLLED TRIAL.六氯酚皂的间歇性使用——一项对照试验。
J Hyg (Lond). 1963 Dec;61(4):443-9. doi: 10.1017/s0022172400021069.
6
Role of airborne transmission in staphylococcal infections.空气传播在葡萄球菌感染中的作用。
Br Med J. 1966 Feb 5;1(5483):319-22. doi: 10.1136/bmj.1.5483.319.
7
Disinfection of the hands of ward personnel. A comparison of six disinfectants.
Acta Med Scand. 1968 Nov;184(5):417-23. doi: 10.1111/j.0954-6820.1968.tb02481.x.
8
Ecologic relation between Staphylococcus aureus and pseudomonas in a nursery population. Another example of bacterial interference.一个托儿所人群中金黄色葡萄球菌与铜绿假单胞菌之间的生态关系。细菌干扰的另一个例子。
N Engl J Med. 1968 Jun 6;278(23):1243-7. doi: 10.1056/NEJM196806062782301.
9
Infection and antibiotic usage at Boston City Hospital, January 1970.1970年1月波士顿市医院的感染与抗生素使用情况
Arch Intern Med. 1971 Mar;127(3):460-5.
10
Nosocomial colonization with kanamycin-resistant Klebsiella pneumoniae, types 2 and 11, in a premature nursery.在一家早产儿保育室中，2型和11型耐卡那霉素肺炎克雷伯菌的医院内定植。
J Pediatr. 1970 Sep;77(3):376-85. doi: 10.1016/s0022-3476(70)80004-x.
Zotero 插件