成功消毒受铜绿假单胞菌污染的新医疗机构

A. Ficheux, Jérémy Réthoret, Jonas Laget, Cristel Baux, N. Gayrard, Flore Duranton, F. Vetromile, I. Szwarc, Chantal Cazevieille, M. Servel, À. Argilés
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引用次数: 2

摘要

卫生机构用水点受到污染是一个经常出现的令人关切的问题。水系统的维护和消毒可能效率低下。灭菌过滤器通常用于选定的水龙头。我们报告了诊断和纠正方法,这些方法已成功地使受污染的卫生设施与其活动可持续地兼容,而不限制水龙头的使用。确定了受假单胞菌污染的区域以及水网沿线存在生物膜发育风险的区域。对管网采取了整改措施,并进行了各类净化。在这项工作结束时,水中的细菌负荷显著下降,在3年的随访中,223名对照组中有219名铜绿假单胞菌呈阴性。四个阳性结果与三个未用于护理的水龙头有关,这些水龙头在当地得到了令人满意的处理。卫生设施设计和设置阶段的错误可能导致耐药细菌污染。铜绿假单胞菌污染的新建卫生保健设施是一个被低估的问题。因此,应调整卫生保健设施供水网络的设计、消毒和监测程序指南,这肯定会改善所提供的护理,限制患者的风险,并避免提供者出现许多不必要的财务状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful Disinfection of a New Healthcare Facility Contaminated with Pseudomonas aeruginosa
Contamination of water use points in health establishments is a frequent and concerning problem. Maintenance and disinfection of water systems can be inefficient. Sterilizing filters are commonly used at selected taps. We report diagnostic and corrective approaches that have succeeded in making a contaminated health facility sustainably compatible with its activity without restriction in taps use. The zones contaminated with pseudomonas as well as those, along the water networks, at risk of biofilm development were identified. Corrective measures on the network and various types of decontamination were carried out. At the end of this work, the bacterial load in the water significantly decreased and 219 out of 223 controls were negative for P. aeruginosa over 3 years of follow-up. Four positive results were linked to three taps not used for care which were satisfactorily treated locally. Errors at the design and setup phases of health facilities may result in resistant bacterial contamination. P. aeruginosa contamination of newly built healthcare facilities is an underreported problem. Guidelines on design, disinfection, and monitoring procedures of water networks of healthcare facilities should be adapted consequently and would certainly improve the offered care limiting patients’ risk and avoid many unwanted financial situations for the providers.
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