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药房和医院病房环境的微生物污染及其在处方制剂生产过程和应用过程中对其纯度的影响。

Microbial contamination of pharmacies and hospital wards environment and its influence on the purity of prescription preparations during their production process as well as their application.

作者信息

Zembrzuska-Sadkowska E

机构信息

Drug Institute, Warsaw, Poland.

出版信息

Acta Pol Pharm. 1995 Jan-Feb;52(1):67-75.

PMID:8960239
Abstract

Microbiological contamination of such environmental factors as air, surfaces of equipment, walls, floors and personnel gloves in two hospital pharmacies and different paediatric hospital wards were tested. Most surfaces in the areas, where the sterile preparations (eye dosage forms) are prepared, turned out to meet the hygienic requirements, although some bacteria belonging to Staphylococci, Pseudomonas, Acinetobacter were detected. The considerable number of microorganisms from 10(2) up to 10(6) cells on 25 cm2 was found on personnel hands and on surfaces of the rooms, where the nonsterile prescription preparations for external and oral use are prepared. Among the identified microorganisms, S. aureus, Enterobacter, Proteus and Moraxella were also observed. However, most opportunistic pathogens like E. coli, Enterobacter, Klebsiella, Citrobacter, Proteus and Ps. aeruginosa were found in the wards in lower numbers (10(0)-10(2). The negative influence of the environment contamination on the purity of prescription preparations, especially during their application in the hospital wards, was observed.

摘要

对两家医院药房以及不同儿科病房的空气、设备表面、墙壁、地板和人员手套等环境因素进行了微生物污染检测。在制备无菌制剂(眼用剂型)的区域,大多数表面符合卫生要求,不过检测到了一些属于葡萄球菌、假单胞菌、不动杆菌的细菌。在制备外用和口服非无菌处方制剂的人员手部和房间表面,发现每25平方厘米有相当数量的微生物,数量从10²到10⁶个细胞不等。在鉴定出的微生物中,还观察到金黄色葡萄球菌、肠杆菌、变形杆菌和莫拉菌。然而,大多数机会致病菌如大肠杆菌、肠杆菌、克雷伯菌、柠檬酸杆菌、变形杆菌和铜绿假单胞菌在病房中的数量较少(10⁰-10²)。观察到环境污染对处方制剂纯度有负面影响,尤其是在医院病房使用这些制剂期间。

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