某三甲医院使用消毒型耦合剂的B超探头微生物污染现状
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赖晓全

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R187

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国家自然科学基金(71473098)


Microbial contamination of Bultrasonic probe with disinfectant coupling agent in a tertiary firstclass hospital
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    摘要:

    目的了解使用消毒型耦合剂B超探头的微生物污染现状及存在问题,预防因B超探头引起的医院感染。方法对湖北省某大型三甲医院使用消毒型耦合剂的B超探头进行抽样调查,并对探头污染的细菌进行计数和鉴定,应用SPSS 19.0软件进行统计学分析。结果共采集B超探头样本95份,B超探头样本带菌率为28.42%,合格率为77.89%;不同科室中妇产科B超探头合格率最高,达92.00%,体检中心B超探头合格率最低,仅为38.46%;不同类型的B超探头中套避孕套/无菌手套后的阴道B超探头、心脏B超探头、腹部B超探头、套避孕套/无菌手套前的阴道B超探头的合格率均≥80%,阴道B超探头套避孕套后采样合格率最高(85.71%),B超高频探头合格率最低(57.14%),不同类型B超探头的合格率比较,差异无统计学意义(χ2=6.91,P=0.141);共检出4株MRSA,未检出CRAB。结论使用消毒型耦合剂的B超探头存在一定微生物污染,应提高医务人员的消毒隔离意识,制定相应的清洁消毒制度,定期进行监测和管理。

    Abstract:

    ObjectiveTo understand microbial contamination and existing problems of B ultrasonic probe with disinfectant coupling agent, and prevent healthcare associated infection caused by B ultrasonic probe.MethodsB ultrasonic probe with disinfectant coupling agent was carried out sampling survey in a large tertiary firstclass hospital in Hubei Province, bacteria from contaminated probe were counted and identified, SPSS 19.0 software was used for statistical analysis.ResultsA total of 95 B ultrasonic probe specimens were collected, 28.42% were isolated bacteria, the qualified rate was 77.89%; of different departments, qualified rate of B ultrasonic probe in department of gynecology and obstetrics was the highest (92.00%), in physical examination center was the lowest (38.46%); of different types of B ultrasonic probe, qualified rate of transvaginal B ultrasonic probe after covering condom/sterile glove, heart B ultrasonic probe, abdominal B ultrasonic probe, and  transvaginal B ultrasonic probe before covering condom/sterile glove were all≥80%,qualified rate of transvaginal B ultrasonic probe after covering condom/sterile glove was the highest(85.71%),highfrequency probe was the lowest(57.14%),there was no significant difference in qualified rate of different types of B ultrasonic probe (χ2=6.91, P=0.141); 4 strains of methicillinresistant Staphylococcus aureus(MRSA) were isolated, carbapenemresistant Acinetobacter baumannii(CRAB) strain was not found.ConclusionMicrobial contamination exists on B ultrasonic probe with disinfectant coupling agent, health care workers’ awareness on disinfection and isolation should be improved, corresponding cleaning and disinfection system should be set up, monitoring and management should be carried out regularly.

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谭莉,熊薇,彭威军,等.某三甲医院使用消毒型耦合剂的B超探头微生物污染现状[J]. 中国感染控制杂志,2018,17(9):788-791. DOI:10.3969/j. issn.1671-9638.2018.09.007.
TAN Li, XIONG Wei, PENG Weijun, et al. Microbial contamination of Bultrasonic probe with disinfectant coupling agent in a tertiary firstclass hospital[J]. Chin J Infect Control, 2018,17(9):788-791. DOI:10.3969/j. issn.1671-9638.2018.09.007.

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  • 收稿日期:2017-12-07
  • 最后修改日期:2018-02-12
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  • 在线发布日期: 2018-09-28
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