大学医院骨科诊所表面和设备的细菌分布

IF 0.2 Q4 INFECTIOUS DISEASES Revista de Epidemiologia e Controle de Infeccao Pub Date : 2021-07-06 DOI:10.17058/RECI.V11I2.15417
Tatiana Carla Carvalho Amorim Guisande, Sued Sheila Sarmento, C. R. Naue, Mirthes Maria Rodrigues Santana, Bruna Manuella Souza Silva, Carine Freitas e Silva
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引用次数: 1

摘要

医疗保健相关感染(HAIs)是一个重要的公共卫生问题,对医院成本和患者预后产生负面影响。考虑到医院环境在HAIs发展中的重要性,我们的目标是评估Universitário do Vale do s o Francisco医院骨科诊所表面和设备上的细菌分布。方法:采用横断面、描述性、定量研究。在13个病区采集样本,每个病区设4张病床,随机抽取1张病床,使用生理盐水浸泡的拭子和1cm2滤纸模具对样本进行标准化取样。拭子通过后,将其保存在含有5mL BHI (Brain Heart Infusion)液体培养基的管中。然后,样品被运送到临床分析实验室/微生物部门,在那里进行微生物分析。结果:共检出细菌257种,其中医院感染可能原因占5.11%,凝固酶阴性葡萄球菌占79%。对这些病例进行了抗生素谱分析,发现了不同的耐药谱。浴室门把手是一个高触感的表面,在被评估的表面中呈现出最大的物种多样性。结论:所评估的诊所的表面和设备存在可能导致医院感染的细菌,这些细菌具有不同的抗菌素耐药性,可能导致交叉感染
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Bacterial profile of surfaces and equipment of the Orthopedic Clinic of a University Hospital
Healthcare-Associated Infections (HAIs) are an important public health problem that impacts negatively on hospital costs and patient prognosis. Given the importance of the hospital environment in the development of HAIs, the objective was to evaluate the bacterial profile on surfaces and equipment of the Orthopedic Clinic of the Hospital Universitário do Vale do São Francisco. Methods: This is a cross-sectional, descriptive, quantitative study. Samples were collected in 13 wards, each ward with four beds and one was chosen at random, where surfaces and equipment were sampled using swabs soaked in saline and a 1cm2 filter paper mold to standardize the samples. After passing the swab, they were stored in a tube containing 5mL of BHI (Brain Heart Infusion) liquid medium. Then, samples were transported to the Clinical Analysis Laboratory/Microbiology Sector where the microbiological analyzes were performed. Results: In total, 257 bacteria were observed, of which 5.11% were possible causes of hospital infection and 79% coagulase-negative Staphylococcus. Antibiograms of these were performed and different resistance profiles were found. The bathroom doorknob, a high-touch surface, presented the greatest variety of species among the evaluated surfaces. Conclusion: Surfaces and equipment of the evaluated clinic present possible bacteria that cause hospital infection with different profiles of antimicrobial resistance, contributing to possible cross infections
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