确诊患者病房新型冠状病毒污染状况
作者:
作者单位:

作者简介:

智霞萍

通讯作者:

中图分类号:

R181.3+2

基金项目:


Contamination status of SARS-CoV-2 in wards of confirmed COVID-19 patients
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 了解新型冠状病毒肺炎(COVID-19)患者病房新型冠状病毒(SARS-CoV-2)污染状况。方法 对COVID-19患者病房物体表面以及患者手、护士手套外表面进行涂抹采样,采用逆转录聚合酶链反应(RT-PCR)对涂抹拭子进行SARS-CoV-2核酸检测。结果 47份标本中1份SARS-CoV-2核酸检测阳性,阳性率为2.13%。阳性标本为采样当日SARS-CoV-2核酸检测阳性患者保暖衬衣袖口内表面涂抹拭子,保暖衬衣自患者入院后未曾更换;患者病房高频接触的物体表面如门把手、床档、床头桌、心电监护仪、输液泵等,以及患者手、护士手套外表面等消毒前采集的涂抹拭子SARS-CoV-2核酸检测均阴性。结论 COVID-19患者病房SARS-CoV-2污染程度较低,考虑与病房每日均进行物体表面的清洁消毒,以及强调手卫生有关。患者入院后应更换患者服,患者服应定期更换,有污染时随时更换。

    Abstract:

    Objective To understand the contamination status of novel coronavirus (SARS-CoV-2, 2019-nCoV) in wards of patients with coronavirus disease 2019 (COVID-19). Methods Smear sampling was performed on object surface of COVID-19 patients' wards, surface of patients' hands and outer surface of nurses' gloves, reverse transcriptase-polymerase chain reaction (RT-PCR) was conducted to test SARS-CoV-2 nucleic acid of swab specimens. Results Among 47 specimens, 1 was positive for SARS-CoV-2, positive rate was 2.13%. Positive specimen was smearing swab of the inner surface of warm shirt cuff of a patient with positive result of SARS-CoV-2 nucleic acid test on the day of sampling, warm shirt has not been changed since patient was admitted to hospital; SARS-CoV-2 nucleic acid test of smearing swabs of high-frequency touched object surfaces of patients' wards, such as door handle, bed rails, bedside table, electrocardiogram monitor, infusion pump and so on, as well as surface of patients' hands and outer surface of nurses' gloves before disinfection were all negative. Conclusion Contamination degree of SARS-CoV-2 in wards of COVID-19 patients is relatively low, which is related to the daily cleaning and disinfection of object surface and emphasis on hand hygiene. Patients' clothes should be changed after admission, regularly during hospital stay, and at any time in case of contamination.

    参考文献
    相似文献
引用本文

智霞萍, 王玉珀, 关平华,等.确诊患者病房新型冠状病毒污染状况[J]. 中国感染控制杂志,2020,19(4):315-318. DOI:10.12138/j. issn.1671-9638.20206544.
ZHI Xia-ping, WANG Yu-bo, GUAN Ping-hua, et al. Contamination status of SARS-CoV-2 in wards of confirmed COVID-19 patients[J]. Chin J Infect Control, 2020,19(4):315-318. DOI:10.12138/j. issn.1671-9638.20206544.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-03-05
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-04-28
  • 出版日期: