阿比亚州圣母天主教医院高接触表面细菌耐药性个案研究

I. Nwankwo, KC Edward, C. Udensi
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摘要

当医护人员用手和手套处理受感染的材料或当患者直接接触受污染的表面时,环境污染会增强细菌的传播。本研究旨在确定从阿比亚州麦当娜天主教医院高接触表面分离的细菌的抗菌素耐药性。最常接触表面的样本通过摩擦和旋转无菌棉签棒与生理盐水在表面收集。用条纹板法将拭子样品直接接种在Blood琼脂和MacConkey琼脂板上。连续稀释法列举了与接触表面相关的细菌种类。采用Kirby Bauer圆盘扩散法对分离的细菌进行药敏试验。该研究表明,从高接触表面收集的50份拭子样本中分离出36株细菌。金黄色葡萄球菌是最常见的分离物,有12株(33.3%),其次是凝固酶阴性葡萄球菌10株(27.8%)。假单胞菌5的感染率最低(13.9%)。本研究记录到,门把手的细菌分离株分布最高(38.8%),而从工作台获得的拭子样本的细菌分离株分布较少(5.5%)。然而,从样品表面分离的细菌对抗生素的敏感性谱显示环丙沙星是最有效的抗生素,测试率为100%。本研究发现,大多数细菌分离株对氯霉素、四环素和氨苄氧嘧啶的耐药程度最高(100%)。在医院经常接触的表面检出相当数量的病原菌分离株。这些微生物的存在可能是医院获得性感染的主要原因。医院必须采取适当的卫生措施,以减少污染程度和通过这些表面传播疾病。提倡良好的个人卫生,如洗手,也很重要。本研究结果提示环丙沙星可用于治疗和控制细菌感染。微生物学杂志,Vol.12 (1) 2022: 1-7
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case Study on Antimicrobial Resistance of Bacterial Isolates From High-Touched Surfaces in Hospitals in Madonna Catholic Hospital, Abia State
When healthcare professionals handle infected materials with their hands and gloves or when patients come into contact with contaminated surfaces directly, environmental contamination enhances the transmission of bacteria. This study aimed to determine the antimicrobial resistance of bacteria isolated from high-touched surfaces in Madonna Catholic hospital, Abia State. Samples of the most commonly contacted surfaces were gathered by rubbing and spinning sterile swabs sticks with normal saline on the surfaces. Direct inoculation of the swab samples using the streak plate method was done on Blood agar and MacConkey agar plates. The serial dilution method enumerated the bacterial species associated with the contact surfaces. The bacterial isolates were subjected to an antibiotic susceptibility test using the Kirby Bauer disc diffusion technique. This study showed that thirty-six (36) bacteria isolates were obtained from fifty (50) swab samples collected from high-touched surfaces. It was also observed that Staphylococcus aureus is the most frequently occurring isolate with 12 (33.3%), followed by coagulase- negative Staphylococci 10 (27.8%). The least occurring isolate was recorded for Pseudomonas spp. 5 (13.9%). It was recorded in this study that door handles showed the highest distribution of bacterial isolates 14 (38.8%), whereas swab samples obtained from the benches showed a minor distribution 2 (5.5%). However, the antibiotics susceptibility profile of bacterial isolate from the sampled surfaces showed that Ciprofloxacin was the most effective antibiotic tested at a rate of 100%. It was revealed in this study that most of the bacterial isolates showed a highest level of resistance to Chloramphenicol, Tetracycline and Ampiclox (100%). An appreciable number of pathogenic bacteria isolates were detected in the frequently touched surfaces in the hospital. The presence of these organisms could be the leading cause of hospital-acquired infections. Suitable hygienic measures must be adopted at the hospital to reduce the level of contamination and spread of disease through these surfaces. It is also vital to promote excellent personal hygiene like hand washing. This study finding suggests that ciprofloxacin can be used for treatment and control bacterial infections. Stamford Journal of Microbiology, Vol.12 (1) 2022: 1-7
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