在胃肠内镜检查期间,内镜师和助理的面罩受到细菌污染:试点研究
David Nylander1, John Leeds1,2, John Perry3
1Department of Gastroenterology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Frontline gastroenterology
|October 19, 2023
概括
内镜手术可以使医护人员的脸部受到患者病原体的污染,即使没有可见的面罩污染. 这项试点研究强调了内镜师和助手面部污染的风险.
科学领域:
- 微生物学 微生物学
- 传染病控制和控制传染病
- 胃肠病学 胃肠病学
背景情况:
- 在COVID-19大流行期间,医护人员面部暴露于病原体引起了人们的注意.
- 内镜手术涉及患者的密切接触,引起了人们对病原体传播的担忧.
研究的目的:
- 在内镜手术过程中评估内镜师和助手面部污染的发生和程度.
- 为促进胃肠内镜的增强安全措施的发展提供信息.
主要方法:
- 工作人员佩戴的非无菌面罩和房间控制面罩从50个程序中收集.
- 抽样被培养,并使用矩阵辅助激光脱/电离飞行时间质谱识别了细菌殖民地.
- 生物被分为皮肤/环境,口腔或肠道.
主要成果:
- 肠道细菌 (例如,大肠杆菌) 从三个穿过的护罩中分离出来,表明潜在的患者对工作人员的传播.
- 虽然10.8%的佩戴面罩和9.1%的对照面罩显示出污染,但肠道菌群仅在佩戴面罩上发现.
- 没有任何防护罩表现出明显的污染,这强调了客观评估的必要性.
结论:
- 这项试点研究表明,进行内镜检查的医疗保健专业人员面部污染的风险很大.
- 需要进一步的研究来量化这种风险,并制定在内镜手术期间适当保护面部的指导方针.
相关概念视频
Transmission-based Precautions I: Contact, Enteric, and Droplets
3.6K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.6K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Endoscopic Procedures I: Esophagogastroduodenoscopy
131
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
131
Cleaning, Sterilization, and Disinfection
6.9K
Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
6.9K
PPE Use in Healthcare Settings II: Doffing
930
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
930
Endoscopic Procedures III: Video Capsule Endoscopy
169
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
169


