埃塞俄比亚西北部贡达尔大学医院血库采集的输血用血液的细菌学安全性。

ISRN Hematology Pub Date : 2013-06-20 Print Date: 2013-01-01 DOI:10.1155/2013/308204
Hailegebriel Wondimu, Zelalem Addis, Feleke Moges, Yitayal Shiferaw
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引用次数: 14

摘要

背景。输血相关的细菌感染仍然更为频繁,具有严重的发病率和死亡率风险。本研究评估了收集用于输血的血液的细菌学安全性。方法。横断面研究于2011年12月至2012年6月在贡达尔大学医院血库进行。按照标准程序进行细菌分离、鉴定和抗菌药敏试验。采用卡方检验和P值评价危险因素与细菌分离率的关系。结果。细菌污染21个(15.33%)单位,外源污染95.24%。常见的分离细菌有金黄色葡萄球菌、凝固酶阴性葡萄球菌、大肠杆菌、克雷伯氏菌、链球菌、肠杆菌和柠檬酸杆菌。所有分离的细菌对庆大霉素、氯霉素、阿莫西林和强力霉素均100%敏感。66.7%的菌株存在多重耐药。采血人员不戴手套、接触已消毒的采血部位、献血者用同一只手或双手进行两次穿刺是细菌污染的危险因素。结论。输血时血液被细菌污染是医院常见的问题。因此,应注意在血库开展的安全输血活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Bacteriological safety of blood collected for transfusion at university of gondar hospital blood bank, northwest ethiopia.

Bacteriological safety of blood collected for transfusion at university of gondar hospital blood bank, northwest ethiopia.

Background. Transfusion associated bacterial infection has remained more frequent with a sever risk of morbidity and mortality. This study assessed the bacteriological safety of blood collected for transfusion. Method. A cross-sectional study was conducted at University of Gondar hospital blood bank from December 2011 to June 2012. Bacterial isolation, identification, and antimicrobial susceptibility tests were done as per the standard procedure. Chi-square test and P value were used to assess associations between risk factors and the bacterial isolation rate. Results. Twenty-one (15.33%) blood units were found contaminated with bacteria, and 95.24% contamination was due to external sources. The commonly isolated bacteria were Staphylococcus aureus, Coagulase negative Staphylococci, Escherichia coli, Klebsiella species, Streptococci species, Enterobacter species, and Citrobacter species. All of the bacteria isolated were 100% sensitive to Gentamicin, Chloramphenicol, Amoxicillin, and Doxycycline. Multiple antimicrobial resistances were observed in 66.7% of the isolates. Not using glove by phlebotomist, touching disinfected phlebotomy site and double puncture at the same hand or both hands of a donor were found to be risk factors for bacterial contamination. Conclusion. Bacterial contamination of blood to be transfused is a common problem in the hospital. So attention should be given to activities performed at the blood bank for safe transfusion practices.

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