基尔库克儿童医院细菌污染及其对抗生素和消毒剂的反应

Ahmed Mohamed, Najdat Mahde
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引用次数: 1

摘要

该研究包括收集(250)份拭子,其中包括来自普通儿童医院环境和各种隔离来源的(180)份样本,以及(70)份医务人员和工作人员的手和鼻子的涂片,使用无菌棉签,然后种植在Cultuer培养基(MacConkey琼脂和血液琼脂)上。结果表明,126份涂片中金黄色葡萄球菌、表皮葡萄球菌、大肠杆菌、阴沟肠杆菌、奇异变形杆菌、肺炎克雷伯菌、铜绿假单胞菌的分离率为50.4%。高污染率(73.33%)来自医院环境,而医护人员手部污染率(71%)较高。结果表明,大多数分离株对β-内酰胺类抗生素具有耐药性,耐药率为81.74%,万古霉素、亚胺培南、阿米卡星对分离株Staph.aureus、Staph.epidermidis、Esch.col、Prot.mirabilis、,具有还原抗性的病原菌铜绿假单胞菌分别达到(23.80)、(24.60)、(36.50)。使用virkon、Opizil、Strillium和漂白剂、乙醇检测Minmam的抑制浓度。与高氯酸钠(次要)消毒剂相比,Optisal®N对选定的分离株具有更好的抑制作用,其次是virkon,《基尔库克大学期刊/科学研究》(KUJSS)第14卷第2期,2018年6月,pp.(175-192)ISSN:1992-0849(印刷版),2616-6801(在线)网站:www.uokirkuk.edu.iq/kujss电子邮件:kujss@uokirkuk.edu.iq,kujss.journal@gmail.com获得177个MIC值(0.25-0.0625,0.5-0.078,1.25-0.156%)。此外,用于清洁双手的防腐剂表明,链球菌防腐剂比乙醇具有更高的细菌抑制作用,因为链球菌防腐剂的较低抑制值在(80-50%)范围内,而乙醇消毒剂的效率最低,因为它达到了其最小抑制值(80-60)。
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Bacterial Contamination and its Response to Antibiotics and Disinfectants Used in the Children's Hospital in Kirkuk
The study included, the collection of (250) swabs which involve (180) samples from general children's Hospital environment and various isolation sources, In addition to (70) smear from the hands and noses of medical staffs and workers, Using sterile cotton swabs and then planted on the Cultuer media (MacConkey's agar and Blood agar). The results showed that (126) smears and in a ratio of (50.4%) was positive for the bacterial isolations which contribute the followings:Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli , Enterobacter cloacae, Proteus mirabilis, Klebsiella pneumonia, Pseudomonas aeruginosa, with variant isolation ratios. It high rate of contamination (73.33%), was from Hospitals environment compared to (71%) of contamination from the hands of medical staffs. Resistany agaings antibiotic was praceddon (12) antibiotics and the results showed that most of the isolates are resistant For anti-beta-lactam groups the rate was (81.74%), the followings antibiotics vancomycin, imipenem, amikacin reveal high efficucy against the isolated Staph.aureus , Staph.epidermidis , Esch.col, Prot.mirabilis , pathogens Ps.aeruginosa with reduction resistany reach to (23.80), (24.60), (36.50) respectively. The Minmam inhibitory concentration was detected using virkon, Opizil, Strillium, and bleach, ethyl alcohol, Optisal ® N was found to passing a better inhibition effect on the elected isolates, followed by an Virkon, compared with the disinfectant of sodium hyper chlorate (minor), The Kirkuk University Journal /Scientific Studies (KUJSS) Volume 14, Issue 2, June 2018 , pp. (175-192) ISSN: 1992-0849 (Print), 2616-6801 (Online) Web Site: www.uokirkuk.edu.iq/kujss E. mail: kujss@uokirkuk.edu.iq, kujss.journal@gmail.com 177 following value MIC walues were obtained (0.25-0.0625, 0.5-0.078, 1.25-0.156%) moreover, the antiseptics used for cleaning the hands showed that, a streillium antiseptics is wosh high bacterial inhibition impact than the ethyl alcohol, as the lower inhibitory values of the streillium antiseptics ranged from (80-50%) while the ethyl alcohol disinfectant was the least efficient as it reached its inhibitory values minimum (80-60).
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