重症监护室电子表面的细菌污染

Ayas Hussein Omar
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摘要

细菌,尤其是 MDR 分离菌,可感染重症监护病房中的无生命表面和设备(如床栏、听诊器、病历和超声波机)。无生命表面的微生物传播可能是重症监护病房病人定植和感染的主要原因。医护人员的手和病人的出院单都有可能传播病菌,而病菌在干燥的表面上可以存活数月之久。据报道,感染者附近的环境污染率高于定植患者,而在定植患者群体中,环境污染频率与培养阳性体位之间存在联系。除了通过直接接触病人感染病菌外,医护人员还可能通过病人区的无生命表面和设备感染病菌。如果医护人员在处理病人前后没有正确清洁双手,就会造成病人定植或感染。重症监护室 (ICU) 中的一些设备和常用物品上的细菌对抗生素的敏感性与从病人身上分离出来的细菌非常相似。鉴于 "病人区 "概念以及细菌病原体交叉传染给重症病人的潜在后果,本综述旨在介绍有关重症监护室无生命物体表面和设备污染的最新知识。
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Bacterial Contamination on Electronic Surfaces in ICU
Bacteria, especially MDR isolates, can infect inanimate surfaces and equipment in ICUs (such as bedrails, stethoscopes, medical charts, and ultrasound machines). Transmission of microbes from inanimate surfaces may play a major role in the colonization and infection of patients in intensive care units. Healthcare worker hands and patient discharge both have the potential to spread germs, which can live for months on dry surfaces. It has been reported that the rate of environmental contamination is higher near infected individuals than it is near colonized patients, and that within the latter group, there is a link between the frequency of environmental contamination and culture-positive body locations. In addition to acquiring germs from direct patient contact, healthcare personnel can pick them up through inanimate surfaces and equipment in the patient zone. Patient colonization or infection can occur if healthcare workers don't properly clean their hands before and after handling patients. Several pieces of equipment and frequently used objects in the intensive care unit (ICU) include bacteria with antibiotic susceptibility profiles that are quite similar to those of germs isolated from patients. In light of the patient-zone concept and the potential consequences for bacterial pathogen cross-transmission to critically ill patients, this review aims to present up-to-date knowledge concerning the contamination of inanimate surfaces and equipment in ICUs.
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