在向COVID-19患者提供医疗援助的过程中出现的额外风险
Dmytro Palii1, Valentin Kovalchuk1, Larysa Moroz1
1NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE.
概括
用于COVID-19呼吸系统支持的面罩随着时间的推移被机会性细菌污染. 这种细菌殖民性随着口罩使用时间的增加而增加,这给患者带来了二次感染的风险.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 呼吸系统医学 呼吸系统医学
背景情况:
- COVID-19患者需要呼吸支持,经常使用面罩.
- 呼吸口罩的内部表面可能有微生物.
- 了解口罩污染对于住院患者的感染控制至关重要.
研究的目的:
- 为了评估COVID-19患者使用的面罩的内部表面的细菌污染.
- 评估口罩使用时间和细菌负载之间的关系.
- 为了确定机遇性细菌在呼吸辅助口罩上定居的风险.
主要方法:
- 60个一次性面罩的细菌学分析.
- 在COVID-19患者的呼吸系统支持期间,在不同时间点抽取了面具样本.
- 识别殖民于面具内部表面的细菌物种.
主要成果:
- 在口罩的内部表面上发现了葡萄球菌和グラム阴性机会性细菌.
- 细菌殖民密度随着长时间的口罩使用而增加.
- 发现机会主义细菌在非侵入性通风和氧气治疗期间殖民于口罩.
结论:
- 在COVID-19患者中用于延长呼吸系统支持的面罩成为机会性细菌的储存库.
- 殖民化随着使用时间的增加而增加,对患者构成风险.
- 这种污染可能会导致肺膜中的二次细菌感染.
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