Nursing and physician attire as possible source of nosocomial infections
Nursing and physician attire as possible source of nosocomial infections
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DOI：
10.1016/j.ajic.2010.12.016
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发表时间：
2011-09-01
影响因子：
4.9
通讯作者：
Yinnon, Amos M.
中科院分区：
文献类型：
--
作者：
Wiener-Well, Yonit;Galuty, Margalit;Yinnon, Amos M.
背景：医护人员穿的制服通常被认为对微生物的传播并不重要。我们调查了医院工作人员穿着的制服上的潜在致病菌的存在率，以及这些microorganis.Methods的细菌负荷：文化获得从护士和医生的制服按标准血琼脂平板在腹部区域，袖端，和口袋。结果：从135名医务人员中共收集到238份样本，其中护士75人（55%），医师60人（45%）。其中，79人（58%）声称每天更换制服，104人（77%）将其服装的卫生水平定义为一般至优秀。从85名参与者（63%）的制服的至少一个部位分离出潜在致病菌，从119个样品（50%）中分离出潜在致病菌; 21个（14%）来自护士长袍的样品和6个（6%）来自医生长袍的样品（P = NS）包括耐药菌。多达60%的医院工作人员的制服上都有潜在的致病细菌，包括耐药微生物。这些细菌是否会转移到患者体内并引起临床相关感染仍有待确定。
Background: Uniforms worn by medical and nursing staff are not usually considered important in the transmission of microorganisms. We investigated the rate of potentially pathogenic bacteria present on uniforms worn by hospital staff, as well as the bacterial load of these microorganisms.Methods: Cultures were obtained from uniforms of nurses and physicians by pressing standard blood agar plates at the abdominal zone, sleeve ends, and pockets. Each participant completed a questionnaire.Results: A total of 238 samples were collected from 135 personnel, including 75 nurses (55%) and 60 physicians (45%). Of these, 79 (58%) claimed to change their uniform every day, and 104 (77%) defined the level of hygiene of their attire as fair to excellent. Potentially pathogenic bacteria were isolated from at least one site of the uniforms of 85 participants (63%) and were isolated from 119 samples (50%); 21 (14%) of the samples from nurses' gowns and 6 (6%) of the samples from physicians' gowns (P = NS) included of antibiotic-resistant bacteria.Conclusion: Up to 60% of hospital staff's uniforms are colonized with potentially pathogenic bacteria, including drug-resistant organisms. It remains to be determined whether these bacteria can be transferred to patients and cause clinically relevant infection.