【摘要】 目的:调查我院护理人员手部微生物状况,为医院感染预防、控制及管理提供依据。方法:选取我院内外科60名护理人员双手进行6步洗手法前后加药操作、静脉输液操作手部采样细菌培养,分析护理人员洗手前后不同操作状态下手部微生物分布状况。结果:护理人员洗手前静脉输液状态120只手共培养出细菌2 664株,革兰阳性球菌占71.65%;不仅包含有凝固酶阴性葡萄球菌等条件致病菌,还有金黄色葡萄球菌、大肠埃希菌等致病性很强的致病菌及耐甲氧西林凝固酶阴性葡萄球菌(MRScon)。洗手前加药状态共培养出细菌2 318株,所培养出的细菌中包括金黄色葡萄球菌、大肠埃希菌等致病性很强的致病菌。洗手后静脉输液状态共培养出细菌601株,以革兰阳性球菌为主,无金黄色葡萄球菌、大肠埃希菌等致病性很强的致病菌。洗手后加药操作过程中培养出细菌520株,其中只有金黄色葡萄球菌为致病菌。结论:护理人员手部所携带微生物存在耐药菌株,操作前手卫生依从性有待提高,操作过程中卫生状况有待提高。更多还原

【Abstract】 Objective:To investigate the microorganism status on the nurses’ hands.To provide the real evidence for the prevention,control and management of nosocomial infections.Methods:The study took 60 nurses from the surgery and internal medicine department of our hospital as the observation objects,sampled the hands of nurses during the procedure of intravenous transfusion and compounding randomly,and after monitoring the nurses washing their hand by the six steps hand-cleaning technique.Then,to culture the samples and do the identification of bacteria.To analyze the distribution of microorganism on the nurses’ hands during the different procedures.Re-sults:There were 2664 strains cultured,in which 71.65% were gram positive coccus during the intravenous transfusion,including the con-ditioned pathogen,pathogenic bacteria(Staphylococcus aureus and Escherichia coli) and MRScon.There were 2318 strains cultured during the compounding procedure,including pathogenic bacteria such as Staphlococcus aureus and Escherichia coli.There were 601 strains cultured after six steps hand-cleaning technique administration during the the intravenous transfusion,in which no pathogenic bacteria exist.There were 520 strains cultured after six steps hand-cleaning technique administration during compounding,in which only the Staphylococcus aureus was the pathogenic bacteria.Conclusion:There are antimicrobial resistance bacteria on nurses’ hands.The hand-washing compliance among nurses before working in our hospital are poor,and the hand hygiene status during the nursing procedure needs to be improved.更多还原