超声检查与医源性感染发展的风险

E. A. Dikareva, S. Pimanov
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摘要

超声检查应用于现代医学的各个领域,在非侵入性仪器诊断中占据领先地位。超声波被认为对病人是安全的。同时,超声也存在危险作用,表现为超声设备和被检查患者受到细菌和病毒的污染。大量的研究已经令人信服地表明,超声波在细菌、真菌和病毒感染患者的医源性污染方面是危险的。每次超声检查都包括术中检查时设备探头与患者皮肤、粘膜或无菌组织的接触。当超声波传感器接触到患者的身体时,可能会被病原微生物和机会微生物污染。也有可能污染超声设备和进行这项研究的医生的手。所有这一切随后都将有助于微生物传播给被检查的其他受试者。因此,每个患者都应被视为致病微生物和病毒的潜在来源。本工作的目的是分析超声检查中细菌和病毒污染的文献资料。
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ULTRASOUND EXAMINATION AND THE RISK OF IATROGENIC INFECTIONS DEVELOPMENT
Ultrasound examination is used in all areas of modern medicine and occupies the leading positions in non-invasive instrumental diagnostics. Ultrasound is believed to be safe for patients. At the same time, there is a dangerous effect of ultrasound, manifested by bacterial and viral contamination of ultrasound equipment and the examined patients. Numerous studies have convincingly shown that ultrasound is dangerous in terms of iatrogenic contamination of a patient with bacterial, fungal and viral infections. Each ultrasound examination includes contact between the probe of the device and the patient’s skin, or his/her mucous membranes, or sterile tissues during intraoperative examinations. When the ultrasonic sensor comes into contact with the patient’s body, it may become contaminated with pathogenic and opportunistic microorganisms. It is also possible to contaminate the ultrasound equipment and the hands of a doctor who conducts this study. All this will subsequently contribute to the microorganisms transmission to other subjects being examined. Therefore, every patient should be considered as a potential source of pathogenic microorganisms and viruses. The purpose of the work was to analyze the literature data on bacterial and viral contamination during ultrasound examination.
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