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医务人员手携带致病菌及分布情况调查

The Survey of Medical Staff ’s Hand Carrying Pathogens and Distribution

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【作者】 张凤华李瑜珍曾学辉曾裕微罗丽雅刘焕军

【Author】 ZHANG Feng-hua1,LI Yu-zhen2,ZENG Xue-hui2,ZENG Yu-wei1,LUO Li-ya1,LIU Huan-jun1(1 Boluo Maternal and Child Health Hospital,Boluo 516100,China;2 Department of Laboratory Medicine,Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518034,China)

【机构】 广东省博罗县妇幼保健院深圳市中医院检验科

【摘要】 目的了解医务人员在进行各种临床诊疗操作过程中手致病菌的携带情况及洗手后的变化。方法随机抽取正在进行各种临床诊疗操作的医务人员676名,分别采集其洗手前后手部皮肤拭子进行致病菌的分离培养。结果在诊疗过程中(洗手前)医务人员手致病菌的携带率为10.06%,洗手后携带率为3.11%,主要的致病菌为金黄色葡萄球、铜绿假单胞菌和大肠埃希菌;医师与护士手致病菌的携带率比较表明,洗手前护士手致病菌的携带率显著高于医师(P<0.05),洗手后二者无区别(P>0.05)。结论医务人员(尤其是护士)应注意手致病菌的携带,减少医院感染发生。

【Abstract】 Objective To investigate the carrying pathogens of medical staff ’s hand during the course of clinical treatment and the change after washing hand.Methods 676 medical staff were selected randomly when they were ongoing clinical diagnosis and treatment of various activities.Collecting the hand skin swabs of their hands before and after washing for pathogens isolated and cultured respectively.Results The rate of hand-carrying pathogens was10.06%(before washing hand before),and the rate was 3.11%(after washing).The main pathogen were Staphylococcus aureus,Pseudomonas aeruginosa and Escherichia coli;Compared with the doctors,The rate of nurse hand-carrying pathogens was significantly higher than that of doctor.But there was no difference after washing hand.Conclusions Medical staff(especially nurses) should pay attention to hand-carry pathogen,and reduce hospital infection.

【关键词】 医务人员致病菌医院感染
【Key words】 Medical staffPathogenHospital infection
  • 【文献出处】 中国医药指南 ,Guide of China Medicine , 编辑部邮箱 ,2012年08期
  • 【分类号】R187
  • 【被引频次】5
  • 【下载频次】35
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