洁净室操作人员工作服表面细菌分离物的鉴定

Laurie M. Smith, Christina Lowes, Noëlle H. O’ Driscoll, A. J. Lamb
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摘要

背景:无菌药品的污染会产生严重的后果,在最坏的情况下会导致患者死亡。洁净室操作人员是微生物污染的主要来源,他们的专业无菌服装的表面在穿着过程中受到这种污染。反过来,这些衣服又成为洁净室环境中微生物的传播媒介。深入了解服装表面的优势细菌分离物将有助于确定其原始来源和可能的污染途径。这应该有助于可能的干预策略,以减轻这种污染。目的本研究旨在确定从洁净室操作人员在洁净室内穿着后的衣服表面回收的代表性细菌分离株的鉴定。方法分离纯化细菌后,采用16S rRNA基因测序法对无菌室环境下男女操作人员工作服表面分离的细菌进行菌种鉴定。结果从服装表面分离得到的47株分离菌,16S rRNA基因测序成功鉴定属水平的占94%,种水平的占77%。多数为革兰氏阳性菌;主要是葡萄球菌、微球菌和芽孢杆菌。从女特工衣服表面提取的分离菌比从男特工衣服表面提取的分离菌更多样化。结论从服装中分离出的病原菌以皮肤共生菌居多,近70%为环境内操作人员感染。其余的则是由于服装受到了环境源物种的污染。虽然已发现的大多数细菌对健康个体的威胁很小,但其中某些细菌是机会性病原体,对免疫功能低下和/或有潜在健康状况的人构成危害。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identification of Bacterial Isolates Recovered from the Surface of Cleanroom Operators’ Garments following Wear
Background Contamination of sterile pharmaceutical products can have serious consequences, in worst case scenario resulting in patient death. Cleanroom operators are the primary source of microbial contamination, where the surface of their specialist sterile clothing garments is subject to such contamination during wear. In turn these garments become a transmission vector for microorganisms within the cleanroom environment. Insight into identification of predominant bacterial isolates from garment surfaces would help to establish their original source and probable contamination route. This should assist possible intervention strategies to mitigate against this contamination. Aim The research aimed to determine identity of representative bacterial isolates recovered from the surface of cleanroom operators’ garments following wear within a cleanroom. Methods Following isolation and purification of bacterial isolates, 16S rRNA gene sequencing was used to establish species identity for isolates recovered from the surface of male and female operators’ garments following wear within the cleanroom environment. Results Of the 47 isolates recovered from the surface of garments, 16S rRNA gene sequencing successfully identified 94 % to genus level and 77 % to species level. Most were confirmed as Gram - positive bacteria; predominantly species of Staphylococcus, Micrococcus and Bacillus. The isolates recovered from the surface of female operatives’ garments were more diverse than those retrieved from male counterparts. Conclusion Most isolates recovered from garments were found to be skin commensals, with nearly 70% attributed to the operators within the environment. The remainder were credited to contamination of garments with species of environmental origin. Whilst most bacteria identified present minimal threat to healthy individuals, certain of these are opportunistic pathogens, presenting a hazard for immunocompromised and/or those with underlying health conditions.
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