| 医务人员鼻前庭机会致病菌携带的调查 |
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| 引用本文： | 乔甫,谢轶,尹维佳,康梅,过孝敬,陈慧丽,谭成.医务人员鼻前庭机会致病菌携带的调查[J].中华医院感染学杂志,2008,18(10). |
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| 作者姓名： | 乔甫 谢轶 尹维佳 康梅 过孝敬 陈慧丽 谭成 |
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| 作者单位： | 1. 四川大学华西医院医院感染管理科
2. 实验医学科微生物实验室,四川,成都,610041 |
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| 摘 要： | 目的了解重症监护病房（ICU）医务人员鼻前庭带菌情况,以加强ICU医务人员医院感染的预防与控制。方法采用常规方法对ICU工作的93名医务人员和对照组的98名医务人员的鼻前庭拭子进行培养和菌种鉴定。结果从191名医务人员的鼻拭子中分离到214株机会致病菌,其中金黄色葡萄球菌8株,携带率4.19%,均为甲氧西林敏感金黄色葡萄球菌（MSSA）,凝固酶阴性葡萄球菌131株,携带率93.71%,主要是表皮葡萄球菌和溶血葡萄球菌,其中耐甲氧西林凝固酶阴性葡萄球菌（MRCNS）占50.3%,革兰阴性杆菌27株,携带率14.14%,主要是肺炎克雷伯菌和阴沟肠杆菌,未发现产超广谱β-内酰胺酶（ESBLs）细菌;ICU医务人员鼻前庭金黄色葡萄球菌携带率（6.5%）、MRCNS的携带率（60.2%）、革兰阴性杆菌的携带率（26.9%）均明显高于普通科室（P〈0.05）。结论医院内医务人员间鼻前庭机会致病菌携带率较高,不同科室医务人员之间的机会致病菌的携带存在明显差异,应加强医院医务人员自身感染的预防与控制,特别是长期在ICU工作的医务人员。
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| 关 键 词： | 医务人员 鼻前庭 机会致病菌 |
Nasal Colonization by Opportunistic Pathogens among Health Care Workers:A Survey |
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| QIAO Fu,XIE Yi,YIN Wei-jia,KANG Mei,GUO Xiao-jing,CHEN Hui-li,TAN Cheng.Nasal Colonization by Opportunistic Pathogens among Health Care Workers:A Survey[J].Chinese Journal of Nosocomiology,2008,18(10). |
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| Authors: | QIAO Fu XIE Yi YIN Wei-jia KANG Mei GUO Xiao-jing CHEN Hui-li TAN Cheng |
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| Institution: | QIAO Fu,XIE Yi,YIN Wei-jia,KANG Mei,GUO Xiao-jing,CHEN Hui-li,TAN Cheng(West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China) |
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| Abstract: | OBJECTIVE To investigate the prevalence of nasal colonization among health care workers(HCWs).METHODS Nasal swabs from 93 ICU workers and 98 other clinical workers were cultured and isolated and the tests of antibiotic susceptibility were performed by using paper diffusion method.RESULTS In total,214 isolates of 8 species from 191 health care workers were recovered,of which 187 isolates were coagulase-negative Staphylococcus(CNS)(the carriage rate of 93.71%) and 8 isolates were Staphylococcus aureus(the car... |
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| Keywords: | Health care workers Nasal fossae Opportunistic pathogens |
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