HAND CARRIAGE OF AEROBIC GRAM-NEGATIVE RODS BY HEALTH-CARE PERSONNEL

HAND CARRIAGE OF AEROBIC GRAM-NEGATIVE RODS BY HEALTH-CARE PERSONNEL
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DOI:
10.1017/s0022172400070509
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发表时间:
1982-01-01
期刊:
影响因子:
--
通讯作者:
MARRIE, TJ
MARRIE, TJ
中科院分区:
其他
文献类型:
--
作者:
ADAMS, BG;MARRIE, TJ

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定量培养技术(洗手在手套中含有肉汤30秒)被用来确定的频率的手携带需氧革兰氏阴性杆菌的各组的卫生保健工作者和104个对照组。总体而言,31%的医护人员手上携带需氧革兰氏阴性杆菌,而对照组为59%(P < 0.001)。成团肠杆菌占分离菌株的40%,其他肠杆菌属。百分之七其他微生物包括醋酸钙不动杆菌21%、沙雷氏菌属。克雷伯菌属11%。10%,莫拉氏菌属。3%,假单胞菌属。3%,变形杆菌属(Proteus spp.)1.5%,大肠埃希菌1%;摩氏摩根菌[摩氏变形杆菌]、弗氏柠檬酸杆菌、气单胞菌属和一种未鉴定的分离株各占0.5%。显然,地方性手携带需氧革兰氏阴性杆菌的卫生保健人员是常见的,但显着低于对照组。成团肠杆菌在对照受试者的手上如此频繁地被发现,因此必须将其视为正常手部植物群的一部分。
A quantitative culture technique (hand washed in a glove containing broth for 30 s) was used to determine the frequency of hand carriage of aerobic gram-negative rods by various groups of health care workers and 104 control subjects. Overall, 31% of health care workers carried aerobic gram-negative rods on their hands compared to 59% of control subjects (P < 0.001). Enterobacter agglomerans accounted for 40% of the isolates, and other Enterobacter spp. 7%. Other organisms included Acinetobacter calcoaceticus 21%, Serratia spp. 11%, Klebsiella spp. 10%, Moraxella spp. 3%, Pseudomonas spp. 3%, Proteus spp. 1.5%, Escherichia coli 1%; Morganella morganii [Proteus morganii], Citrobacter freundii, Aeromonas sp. and an isolate that was not speciated accounted for 0.5% each. Evidently, endemic hand carriage of aerobic gram-negative rods by health care personnel is common, but significantly less than that of control subjects. Enterobacter agglomerans is found so frequently on the hands of control subjects that it must be considered part of the normal hand flora.