摩洛哥阿加迪尔市一家公立医院室内微生物空气质量评估

Pub Date : 2021-07-01 DOI:10.18054/pb.v123i1.6461
Said Oulkheir, Halima Safouan, Fadwa El Housse, M. Aghrouch, K. Ounine, A. Douira, S. Chadli
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引用次数: 0

摘要

背景和目的:空气是病原微生物的最大传播媒介,病原微生物在室内医院环境中造成了重大问题,尤其是在医院感染方面。在这种情况下,了解空气样本中悬浮液中存在的微生物类型以评估初始情况和纠正措施的有效性是很重要的。材料与方法:本研究采用被动采样法对中心复苏、新生儿复苏和手术室三个医院单元的室内微生物空气质量进行评估。结果:本研究结果表明,中心复苏记录的最高细菌计数群体为3.33102CFU/m3。新生儿复苏时真菌的总存活计数较高。本研究表明,在分离的细菌中,非金黄色葡萄球菌和金黄色葡萄菌最为突出。在中心复苏和手术室分别为70%-21%和79%-13%。在新生儿复苏中,非金黄色葡萄球菌占29%,其次是金黄色葡萄菌(19%)、铜绿假单胞菌(17%)和嗜肺巴斯德菌(16%)。因此,在手术室中鉴定出的真菌属为青霉菌61%、黑曲霉20%和光滑念珠菌19%。在新生儿复苏中,我们发现青霉菌占51%,光滑念珠菌占25%,黑曲霉占20%。在中心复苏中,最主要的真菌是枝孢菌(30%)、青霉(28%)和光滑念珠菌(13%)。结论:从室内空气中分离出的微生物构成了微生物库,可能会给患者和工作人员带来感染风险。有鉴于此,卫生设施环境的微生物监测是预防医院感染新闻的一部分。
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Assessment of microbiological indoor air quality in a public hospital in the city of Agadir, Morocco
Background and Purpose: Air is the greatest dissemination agency of pathogenic microbes, which cause significant problem in the indoor hospital environment, in particularly in terms of nosocomial infections. In this context, it is important to know the types of microorganisms present in suspension in an air sample to assess the initial situation and the effectiveness of corrective measures.             Materials and Methods: This study aimed to assessment of microbiological indoor air quality in a three hospital units: central resuscitation, neonatal resuscitation and operating room, using a passive sampling method.             Results: Findings of this study indicated that the central resuscitation recorded the highest bacterial counts population 3.33 102 CFU/m3. Total viable count of fungal was recorded high in neonatal resuscitation. This research showed that Staphylococcus non aureus and Staphylococcus aureus were the most predominant among isolated bacteria. The percentage was 70% -21% in central resuscitation and 79%-13% in operating room. In neonatal resuscitation Staphylococcus non aureus represent (29%) followed by Staphylococcus aureus (19%), Pseudomonas aeruginosa (17%) and Pasteurella pneumotropica (16%). Thus, the fungal genera identified in operating room were Penicillium 61%, Aspergillus niger (20%) and Candida glabrata (19%). In neonatal resuscitation, we found Penicillium 51%, Candida glabrata 25% and Aspergillus niger 20%. In central resuscitation, the most predominant fungi were Cladosporium (30%), Penicillium (28%) and Candida glabrata (13%).              Conclusions: Microorganisms isolated from indoor air constitute microbial reservoirs that may present a risk of infection for both patients and staff. In this light microbiological monitoring of the environment in health facilities is a topic that is part of the news of the prevention of nosocomial infections.
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