间歇性导管的微生物转移:对具有不同保护功能的导管中微生物转移的体外评估。

IF 1.7 3区 医学 Q2 NURSING
Nicole L Dean, James Gras, Ellen E Lantz, Jillian P Patterson, Gary Inglese, Jimena V Goldstine, Mariely Medina-Rivera, Nina Bionda, Aaron D Strickland, Tadas S Sileika
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引用次数: 0

摘要

目的:本研究的目的是通过体外模型评估亲水性间歇导尿管的各种保护功能(如导尿管帽、导尿管头和导尿管套管)对尿路感染相关微生物污染的影响:材料与方法:用手套污染泌尿道病原微生物,并使用 5 种市场上销售的亲水性导尿管中的保护功能模拟男性解剖模型的间歇性导尿。通过这种污染性触摸转移方法,无菌男性解剖模型的肉眼和操作者的无菌外科手套都接种了大量微生物(分别为 107 和 109 菌落总数单位 [CFU])。然后,操作员对解剖模型进行导管插入术。对导管最相关的部分进行取样,并对微生物转移和导管污染的程度进行量化。通过成对 t 检验和方差分析分析了 3 种微生物和 5 种导管(有套管和无套管)的实验和样本重复结果:结果:在本研究评估的 5 种市售有套管间歇性导管中,与仅使用套管或无套管的导管相比,使用带有多个保护组件(环形帽、导管头和导管套管)的导管可显著提高防污染能力,所有物种的微生物污染水平(C1 段)降低了 25-2500 倍:结论:与仅使用套管相比,环形帽、保护性导管头和保护性套管的组合能提供额外的保护,防止微生物污染从肉腔转移到推进中的导管。要确定这些设计特点是否会减少间歇性导尿管使用者的尿路感染,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Microbial Transfer by Intermittent Catheters: An In Vitro Evaluation of Microbial Transfer in Catheter With Variable Protective Features.

Purpose: The purpose of this study was to evaluate the effects of various protective features (eg, catheter cap, introducer tip, and catheter sleeve) of hydrophilic intermittent catheters against contamination with urinary tract infection-associated microorganisms using an in vitro model.

Design: An in vitro study of microbial transfer.

Materials and methods: Gloves were contaminated with uropathogenic microorganisms and used to simulate intermittent catheterization of male anatomical models with and without the protective features present in 5 commercially available hydrophilic catheters. Using this contaminated touch transfer method, both the meatus of the sterile male anatomical models and sterile surgical gloves of an operator were inoculated with a high level of microorganisms (107 and 109 colony-forming units [CFU], respectively). The operator then performed catheterization of the anatomical model. The most relevant segments of the catheter were sampled, and the level of microbial transfer and catheter contamination was quantified. Results from experimental and sample replicates from the 3 microbial species and 5 catheters (sleeved and unsleeved) were analyzed by pair-wise t tests and analysis of variance.

Results: Of the 5 commercially available sleeved intermittent catheters evaluated in this study, use of catheters with multiple protective components (ring cap, introducer tip, and catheter sleeve) resulted in significant improvement in protection against contamination with a 25- to 2500-fold lower level of microbial contamination (C1 segment) across all species as compared to catheters protected with only sleeves or un-sleeved catheters.

Conclusions: The combination of a ring cap, protective introducer tip, and protective sleeve provides additional protection when compared to sleeve alone from transferring microbial contamination from the meatus to the advancing catheter. Additional research is needed to determine whether these design features result in fewer urinary tract infections among intermittent catheter users.

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来源期刊
CiteScore
3.10
自引率
34.60%
发文量
186
审稿时长
6-12 weeks
期刊介绍: ​​The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care. The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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