HANDS AS ROUTE OF TRANSMISSION FOR KLEBSIELLA SPECIES
HANDS AS ROUTE OF TRANSMISSION FOR KLEBSIELLA SPECIES
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DOI：
10.1136/bmj.2.6098.1315
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发表时间：
1977-01-01
影响因子：
--
通讯作者：
PHILLIPS, I
中科院分区：
文献类型：
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作者：
CASEWELL, M;PHILLIPS, I
17%的重症监护病房工作人员被发现有克雷伯氏菌污染他们的手，这些菌株可能与当天感染或定植在病房中的患者的血清型有关。我们确定了一些简单的病房程序，导致护士的手污染100 - 1000 klebsimme/手。克雷伯氏菌在人工接种的手上存活长达150分钟。用氯己定洗手液洗手可靠地减少了98 - 100%的手数，工作人员在从一个病人转移到下一个病人之前进行常规洗手与克雷伯氏菌定植或感染的病人数量显著和持续减少有关。工作人员的衣服偶尔会被污染，但病房的空气和灰尘很少含有克雷伯氏菌。
Seventeen per cent of the staff of an intensive care ward were found to have Klebsiella spp contaminating their hands, and these strains could be related to serotypes infecting or colonising patients in the ward on the same day. We identified some simple ward procedures that resulted in contamination of nurses' hands with 100-1000 klebsiellae per hand. Klebsiellae survived on artifically inoculated hands for up to 150 minutes. Handwashing with chlorhexidine hand cleanser reliably gave 98-100% reduction in hand counts, and the introduction of routine handwashing by staff before moving from one patient to the next was associated with a significant and sustained reduction in the number of patients colonised or infected with Klebsiella spp. Staff clothing was occasionally contaminated, but ward air and dust rarely contained klebsiellae.