MICROBIAL-FLORA ON DOCTORS WHITE COATS
MICROBIAL-FLORA ON DOCTORS WHITE COATS
复制标题
DOI：
10.1136/bmj.303.6817.1602
复制
发表时间：
1991-12-21
影响因子：
--
通讯作者：
HOLLIS, P
中科院分区：
文献类型：
--
作者：
WONG, D;NYE, K;HOLLIS, P
目的 - 确定医生白大褂上存在的微生物污染水平和类型，以评估病原微生物在医院环境中通过这种途径传播的风险。设计 - 综合医院白大褂细菌污染的横断面调查。设置 - 东伯明翰医院，一家拥有 800 个床位的城市综合医院。受试者 - 100 名不同级别和专业的医生。结果 - 大衣的袖口和口袋污染最严重的地区。细菌污染的程度并不随外套使用时间的长短而变化，但随着医生个人使用程度的增加而增加。从四分之一的检查外套中分离出金黄色葡萄球菌，更常见的是来自外科专业医生的外套，而不是医学专业医生的外套。未分离出致病性革兰氏阴性杆菌和其他致病菌。结论——白大褂是潜在的交叉感染源，尤其是在手术区域。在看护病人之前和之后应严格洗手，建议在检查伤口之前脱掉白大褂并穿上塑料围裙。几乎没有微生物学理由建议每周更换一次白大褂，也没有排除在非临床区域穿着白大褂。
Objective - To determine the level and type of microbial contamination present on the white coats of doctors in order to assess the risk of transmission of pathogenic micro-organisms by this route in a hospital setting.Design - Cross sectional survey of the bacterial contamination of white coats in a general hospital.Setting - East Birmingham Hospital, an urban general hospital with 800 beds.Subjects - 100 doctors of different grades and specialties.Results - The cuffs and pockets of the coats were the most highly contaminated areas. The level of bacterial contamination did not vary with the length of time a coat had been in use, but it increased with the degree of usage by the individual doctor. Staphylococcus aureus was isolated from a quarter of the coats examined, more commonly from those belonging to doctors in surgical specialties than medical specialties. Pathogenic Gram negative bacilli and other pathogenic bacteria were not isolated.Conclusions - White coats are a potential source of cross infection, especially in surgical areas. Scrupulous hand washing should be observed before and after attending patients and it may be advisable to remove the white coat and put on a plastic apron before examining wounds. There is little microbiological reason for recommending a more frequent change of white coat than once a week, nor for excluding the wearing of white coats in non-clinical areas.