紧急部门超声波探针的细菌污染:一个多中心观察性研究
Takahiro Yamanaka1, Ryo Yamamoto1, Keitaro Yajima1
1Department of Emergency and Critical Care Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
紧急部门的超声波探针显示显著的细菌污染,包括耐药菌株,无论医院的类型或清洁方法. 适当的再加工对于减轻感染风险至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 医疗器械安全 医疗器械安全
- 微生物学 微生物学
背景情况:
- 超声波是急诊室 (ED) 的常见诊断工具.
- 超声波探针受到体液和血液污染的程度尚未得到充分记录.
- 了解污染率对于患者安全和感染控制至关重要.
研究的目的:
- 评估ED环境中的超声波探针上的细菌污染水平.
- 为了比较不同类型的医院 (大学,非学术三级,区域) 的污染率.
- 评估各种超声波探头再处理方法的有效性.
主要方法:
- 一项多中心前性观察研究于2023年进行.
- 从用于ED患者的超声波探针中收集了细菌样本.
- 评估的再加工方法包括用水湿的湿巾,乙醇湿巾和四级湿巾,有或没有额外的消毒剂.
主要成果:
- 细菌污染,以殖民地形成单位 (CFU) 测量,根据医院类型和再处理方法而异.
- 在非学术三级医院和仅使用四级氨纸巾时,观察到最高的CFU中位数.
- 在18.2%的检查探头上发现了耐药细菌菌株.
结论:
- 在ED的超声波探针中存在大量的细菌污染,包括多种耐药生物.
- 在各种医院环境和再处理协议中,污染仍然存在.
- 加强消毒策略是必要的,以提高临床实践中的超声波探针安全性.
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