在葡萄牙第三级护理学术内镜单位实施微生物学监测协议
Cristiana Monteiro1,2, Jorge Lima1,2, Tiago Ribeiro1,2,3
1Department of Gastroenterology, Centro Hospitalar Universitário de São João, Porto, Portugal.
GE Portuguese journal of gastroenterology
|February 5, 2025
概括
本研究提出了用于内镜的标准化微生物监测协议,以预防感染. 该框架由内镜中心和微生物学实验室开发,详细介绍了样本采集和培养方法.
科学领域:
- 微生物学 微生物学
- 感染控制 感染控制
- 胃肠病学 胃肠病学
背景情况:
- 国际指导方针建议对内镜进行微生物学监测,以减少与内镜相关的感染,特别是对于十二指镜.
- 目前的监测协议缺乏采样,加工和培养方面的国际标准化.
- 这种变化阻碍了一致的感染预防策略.
研究的目的:
- 建立内镜样本微生物学监测的框架协议.
- 整合大型三级内镜中心及其微生物学实验室的专业知识.
- 为了提高内镜安全性,标准化样本采集和培养.
主要方法:
- 在内镜中心和微生物学实验室之间制定了一项合作协议.
- 该议定书纳入了国际建议和机构资源.
- 采样采集方法包括无菌盐水,拭子,冲洗水和水瓶,根据内镜类型而异.
主要成果:
- 建立了一个详细的内镜样本采集和处理协议.
- 监测频率是根据内镜类型量身定制的:每3个月进行一次十二指镜/回声镜,每年进行一次胃镜/结肠镜,每6个月进行一次专门内镜.
- 该协议规定收集无菌盐水液样品,拭子,最终冲洗水和水瓶样品.
结论:
- 内镜装置需要详细的,多学科的微生物监测协议.
- 协议应该由一个包括护士,胃肠科医生,微生物学家和管理团队在内的团队制定.
- 标准化协议,适应机构资源和国际建议,对于感染控制至关重要.
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