重症监护病区物体表面细菌污染情况调查

Investigation on current situation of disinfection effect in primary medical institutions of qujing in 2015

  • 摘要: 目的 对医院重症监护病区(ICU)物体表面的细菌污染情况进行调查,为ICU优化环境清洁流程和预防控制医院感染的发生提供依据。方法 2015年7月-2016年3月采用棉拭子法从医院5个ICU随机采样102份样本进行物体表面平均菌落数测定。并对从平均菌落数超标的样本中分离出的细菌进行种类鉴定及药敏试验。结果 102份物体表面样本经培养48 h后平均菌落数超标的共有70份(>5.0 CFU/cm2),总体合格率为31.37%;70份物体表面平均菌落数超标的样本中共检出细菌74株,以革兰阴性菌为主,共40株占54.05%,药敏结果显示,鲍氏不动杆菌对多黏菌素B敏感性达100.00%。结论 ICU内环境物体表面的细菌污染程度较高,需进一步优化和制定更为严格的环境清洁消毒的流程,并规范医护人员的操作及手卫生执行力,切断病原菌交叉传播的风险。

     

    Abstract: OBJECTIVE To investigate of bacterial contamination on object surfaec in ICUs, so as to put forward intervention measures for environmental cleaning and hygiene in ICU and prevention and control of hospital infection. METHODS From Jul. 2015 to Mar. 2016, 102 samples were collected from 5 ICUs in our hospital using cotton swab method, and all specimens were determined the average number of colonies. Then the bacteria isolated from the samples with the average number of colonies exceeded were used for the identification and drug susceptibility test. RESULTS There were 70 specimens of object surfaces had the average number of colonies exceeded from 102 samples after 48 hours of culture (>5.0 CFU/cm2), with the overall qualified rate of 31.37%. A total of 74 pathogens were isolated from 70 specimens, which mainly were 40 strains of gram-negative bacteria, accounting for 54.05%. Drug susceptibility results showed that the susceptibility of Acinetobacter baumannii to polymyxin B was 100%. CONCLUSION The environmental surfaces in ICUs were heavily contaminated by bacteria. It is necessary to further optimize and develop a more stringent environmental cleaning and disinfection process, standardize the operation and hand hygiene execution of medical staff, and cut off the risks of cross-transmission of pathogens.

     

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