医院环境中物体表面碳青霉烯耐药鲍曼不动杆菌污染及同源性分析
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秦瑾

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R181.3+2R378.99

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中华医院感染控制研究基金课题(ZYGY028); 河北省卫生厅重点科技研究计划(20110099)


Contamination and homology of carbapenemresistant Acinetobacter baumannii from hospital environmental object surface
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    摘要:

    目的调查某院重点部门物体表面碳青霉烯耐药鲍曼不动杆菌污染情况及其同源性。方法对该院重症监护室(ICU)、急诊重症监护室(EICU)、血液透析室、手术室进行环境卫生学监测,采用肠杆菌科基因间重复序列聚合酶链反应(ERICPCR),对ICU、EICU环境中污染的条件致病菌鲍曼不动杆菌进行扩增分型。结果除EICU医务人员手卫生结果达标外,ICU及EICU各检测项目细菌计数均不达标;血液透析室及手术室采样标本均合格。ICU、EICU物体表面共采集标本53份,检出鲍曼不动杆菌7株,检出率为13.21%;此7株菌均为碳青霉烯耐药鲍曼不动杆菌,其中 6株基因型相同,与患者痰中分离的鲍曼不动杆菌基因型相同。结论该院重点部门环境中物体表面分离的碳青霉烯耐药鲍曼不动杆菌具有同源性,应加强其环境物体表面清洁与消毒,降低医院感染的发生。

    Abstract:

    ObjectiveTo investigate the contamination of carbapenemresistant Acinetobacter baumannii (CRAB) from object surface of key departments in a hospital, and identify whether these CRAB were homologous.MethodsEnvironmental hygienic monitoring in intensive care unit (ICU), emergency intensive care unit(EICU), hemodialysis room and operating room was conducted. Acinetobacter baumannii (A. baumannii) isolated from ICU and EICU environmental specimens were amplified  and typed by enterobacterial repetitive intergenic consensuspolymerase chain reaction (ERICPCR).ResultsExcept hand hygiene of health care workers in EICU was qualified, bacterial count of object surface of ICU and EICU were all unqualified; detection results of specimens from hemodialysis room and operating room were all qualified. A total of 53 specimens were taken from object surface of ICU and EICU, 7 (13.21%) A. baumannii isolates were isolated, and all were CRAB isolates, 6 of which were of the same genotype and were identical with  A.baumannii from  patients’ sputum.ConclusionCRAB isolated from object surface in key departments is homologous, cleaning and disinfection of environmental object surface should be intensified to reduce the occurrence of healthcareassociated infection.

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秦瑾,闻海丰.医院环境中物体表面碳青霉烯耐药鲍曼不动杆菌污染及同源性分析[J]. 中国感染控制杂志,2015,14(6):366-369. DOI:10.3969/j. issn.1671-9638.2015.06.002.
QIN Jin, WEN Haifeng. Contamination and homology of carbapenemresistant Acinetobacter baumannii from hospital environmental object surface[J]. Chin J Infect Control, 2015,14(6):366-369. DOI:10.3969/j. issn.1671-9638.2015.06.002.

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  • 收稿日期:2014-12-20
  • 最后修改日期:2015-04-20
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  • 在线发布日期: 2015-06-30
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