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体外超声探头微生物污染流行病学调查

EPIDEMIOLOGICAL DIAGNOSES OF MICROBIAL CONTAMINATION ON IN VITRO ULTRASOUND PROBES

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【作者】 刘丽红郝元涛黎明魏跃朱继辉

【Author】 LIU Li-hong,HAO Yuan-tao,LI Ming,et al.(The People’s Hospital of Longgang District of Shenzhen,Shenzhen 518172,China)

【机构】 深圳市龙岗区人民医院广东中山大学公共卫生学院医学统计与流行病学系深圳市龙岗区人民医院 深圳518172广东中山大学公共卫生学院医学统计与流行病学系深圳518172

【摘要】 [目的]开展超声探头微生物污染流行病学调查,掌握微生物污染分布特点及影响因素,为制订控制对策提供依据。[方法]对我院的8台超声诊断仪的19个未消毒的体外探头进行微生物学目标性监测和问卷调查,对采集到228份监测标本进行菌型鉴定、药物敏感试验。[结果]标本带菌阳性率为进行63.16%,菌落数为(22.63±21.79)cfu/cm2,培养出金黄色葡萄球菌、铜绿假单胞菌等致病菌及医院感染常见菌、多重耐药菌等多株;影响超声探头的微生物污染的主要因素有:清洁时间、使用科别、监测季节及探头类型等。[结论]超声探头微生物污染严重,存在多种致病菌、条件致病菌及多重耐药菌。因此,必须形成日常清洁消毒制度并加强监督管理,消除医疗隐患,保障医疗安全。

【Abstract】 [Objective]To carry out epidemiological diagnoses of microbial contamination on ultrasound probes,understand its distribution characteristics and affecting factors and provide evidences for control strategy.[Methods]Microbiology objective routine monitor and questionnaire survey of 19 nonsterile in vitro probes of 8 diasonographs in our hospital were conducted. Type classification and drug resistance evaluation were carried out in 228 monitoring samples.[Results]The positive bacterium carrying ratio of specimens was 63.16%,with concentration of(22.63 ± 21.79)cfu/cm2. S.aureus,pseudomonas aeruginosa and other universal pathogene bacteria were cultivated with some multi-drug resistant bacterium. The main affecting factors of the microbial contamination on probes were cleaning time,different departments,seasonal monitoring,probe types and so on.[Conclusion]There is severe contamination from several types of pathogene and multi-drug resistant bacterium on Ultrasound probes. So routine disinfection rule should be formed and we should strengthen the supervision to avoid hidden medical danger and ensure medical safety.

【基金】 深圳市科技计划项目(200603278)
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2007年11期
  • 【分类号】R181.3
  • 【被引频次】14
  • 【下载频次】116
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