口腔诊室物体表面微生物污染及其耐药基因特征

Characteristics of contamination by microbes and antimicrobial resistance genes on surfaces in dental clinics

  • 摘要: 目的 了解口腔诊室环境物体表面微生物污染状况及耐药基因分布特征。方法 2024年11月采用棉拭子采样法采集诊室消毒前物体表面样本,结合高通量测序分析物体表面微生物群落及耐药基因组成。结果 口腔诊室物体表面污染呈空间异质性(P=0.002)且痰盂表面菌落数最高为13.50(5.90,54.60)CFU/cm2;物体表面门水平上细菌优势菌群为假单胞菌门(办公桌表面相对丰度为77.43%)和拟杆菌门(痰盂表面相对丰度为37.78%),种水平上检出金黄色葡萄球菌(辅助操作面板表面相对丰度为2.86%)以及矢野鞘氨醇菌(综合操作面板表面相对丰度为9.23%)等致病菌;检出多种耐药基因(如adeF、mgrA、norA、qacG),部分基因介导氟喹诺酮类、四环素类等多重抗菌药物耐药及消毒剂耐受性,且在灯罩、辅助操作面板、牙椅扶手等表面富集。结论 口腔诊室物体表面存在微生物及耐药基因污染风险。对于痰盂、灯罩、辅助操作面板及牙椅扶手等高频污染部位需考虑增加物体表面擦拭频次并开展耐药基因动态监测,进一步降低医患交叉感染传播风险。

     

    Abstract: OBJECTIVE To understand the status of contamination by microbes and antimicrobial resistance genes on surfaces in dental clinics. METHODS In Nov. 2024, cotton swab samples were collected from environmental surfaces in the clinics before disinfection. High-throughput sequencing was employed to analyze the composition of microbial communities and antimicrobial resistance genes on these surfaces.RESULTS The contamination on the surfaces in the dental clinic exhibited spatial heterogeneity (P=0.002), with the highest bacterial count on the surface of the sputum cup 13.50 (5.90, 54.60) CFU/cm2. At the phylum level, the dominant bacterial groups on object surfaces were Pseudomonadota (with a relative abundance of 77.43% on the office desk surface) and Bacteroidota (with a relative abundance of 37.78% on the sputum cup surface). At the species level, pathogenic bacteria such as Staphylococcus aureus (with a relative abundance of 2.86% on the auxiliary operation panel surface) and Sphingomonas yanoikuyae (with a relative abundance of 9.23% on the comprehensive operation panel surface) were detected. Multiple antimicrobial resistance genes (such as adeF, mgrA, norA, qacG) were identified. Some of these genes confer resistance to multiple drugs (including fluoroquinolones and tetracyclines) and tolerance to disinfectants, and they were predominantly enriched on surfaces such as light covers, auxiliary control panels and dental chair armrests. CONCLUSIONS There is a risk of contaminations by microbes and antimicrobial resistance genes on the surfaces of objects in dental clinics. For high-frequency contaminated areas such as sputum cups, lampshades, auxiliary operation panels and dental chair armrests, it is necessary to consider increasing the frequency of surface wiping and conducting dynamic monitoring of resistance genes to further reduce the risk of cross-infection transmission between medical staff and patients.

     

/

返回文章
返回