操作室麻醉工作空间中的设备和表面的污染:一个横截面研究
Carlos Eduardo Macedo1, Adriano Menis Ferreira2, Larissa da Silva Barcelos3
1MD. Physician, Postgraduate Program in Nursing, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande (MS), Brazil.
麻醉器呼吸回路和表面显示显著的细菌污染,包括大肠杆菌和金黄色葡萄球菌. 不适当的消毒做法增加了手术室交叉感染的风险.
科学领域:
- 微生物学 微生物学
- 感染控制 感染控制
- 麻醉学 麻醉学
背景情况:
- 麻醉机上的呼吸回路和药物制备表面污染造成了交叉感染的风险.
- 辅助机械通风的全身麻醉涉及多种设备和表面,可以庇护病原体.
研究的目的:
- 评估麻醉药物制备表面,呼吸系统和在全身麻醉中使用的设备的微生物污染.
主要方法:
- 在一家医院手术中心进行了一项横截面的定量研究.
- 从呼吸回路收集了82个微生物样本,在不同的培养基上进行了328次分析.
主要成果:
- 观察到严重的污染,其中大肠杆菌,肠杆菌种类, Pseudomonas种类,金黄色葡萄球菌和肺炎链球菌的发病率很高 (P < 0.001).
- 微生物的存在因所使用的培养基和特定的样本采集地点而异.
结论:
- 结果表明,吸入和呼出呼吸回路分支的消毒不足.
- 强调需要严格的清洁和消毒协议在操作环境中的高触摸表面,以防止医疗保健相关的感染.
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