尼日利亚中部两所三级医疗机构医院设备的细菌污染及其对抗菌药物的敏感性

Adamu Muktar Owuna, Owuna Jibril Egwu, Y. Hajara, Azamu Ibaku Gowon
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引用次数: 0

摘要

医院是传染病传播的主要途径,被称为院内感染。这项研究调查了联邦医疗中心和纳萨拉瓦州立大学诊所凯菲医院设备上的细菌。收集不同医院设备的拭子样本,并使用标准微生物学技术进行检测。培养特征表明存在以下细菌;大肠杆菌、克雷伯氏菌、假单胞菌、金黄色葡萄球菌和肠杆菌。NSUK临床设备的平均细菌负荷(×104cfu/ml)分别为0.32、0.18、0.19和0.1,而FMC的平均细菌负荷(×104cfu/ml)分别为1.254、0.347和0.283,分别为总活菌、总大肠菌群、总粪便大肠菌群。FMC中分离菌的出现频率依次为:大肠杆菌(50.0%)>肠杆菌(30.0%)>克雷伯氏菌和假单胞菌(20.0%)>金黄色葡萄球菌(0.0%);NSUK诊所的检出率为大肠杆菌(50.0%)>假单胞菌(30.0%)>金黄色葡萄球菌(10.0%),未检出克雷伯氏菌和肠杆菌。细菌的药敏模式显示,假单胞菌对奥格门汀、庆大霉素、氯霉素和环丙沙星均完全敏感(各为100.0%),大肠杆菌对链霉素(44.4%)、环丙沙星和环氟沙星(33.3%)、庆大霉素和斯帕沙星(22.2%)、奥格门汀、氧氟沙星、塞普林和氯霉素均有一定程度的敏感(11.1%),但对阿莫西林完全耐药。克雷伯氏菌和肠杆菌对除链霉素外的所有抗生素均耐药,对克雷伯氏菌和肠杆菌的敏感性分别为100.0%和66.7%。发现金黄色葡萄球菌对所有测试的抗生素都具有完全的耐药性。因此,应重视手卫生,以尽量减少因医院设备污染而导致医院感染的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bacterial Contamination of Hospital Equipments in Two Tertiary Health Facilities in Central Nigeria and Their Corresponding Susceptibility to Antimicrobial Agents
Hospital is a major avenue for the spread of infectious diseases known as nosocomial infections. This study investigated the bacteria that colonize hospital equipments at the Federal Medical Centre and Nasarawa State University Clinic Keffi. Swab samples of different hospital equipments were collected and examined using standard microbiological techniques. Cultural features indicates the presence of the following bacteria; Escherichia coli, Klebsiella spp., Pseudomonas spp., Staphylococcus aureus and Enterobacter spp. The mean bacterial load from NSUK clinic equipments (×104cfu/ml) were 0.32, 0.18, 0.19 and 0.1 for total viable, total coliform, total fecal coliform and staphylococcus aureus count respectively, while the mean bacterial load in FMC (×104cfu/ml) was 1.254, 0.347 and 0.283 for total viable count, coliform count and faecal coliform count accordingly. Frequency of occurrence of the bacteria isolates in FMC is in the order: Escherichia coli (50.0%)>Enterobacter spp. (30.0%)>Klebsiella spp. and Pseudomonas spp. (20.0%)>Staphylococcus aureus (0.0%); while that of NSUK clinic is in the order: Escherichia coli (50.0%)>Pseudomonas spp. (30.0%)>Staphylococcus aureus (10.0%), while Klebsiella spp. and Enterobacter spp. were not isolated at NSUK clinic. The antibiotic susceptibility pattern of the bacteria showed Pseudomonas spp. to be completely susceptible to Augmentin, Gentamicin, Chloramphenicol and Ciprofloxacin (100.0% each), while E. coli showed some degree of susceptibility to Streptomycin (44.4%), Ciprofloxacin and Perfloxacin (33.3%), Gentamicin and Sparfloxacin (22.2%), Augmentin, Ofloxacin, Septrin and Chloramphenicol (11.1%), but completely resistant to Amoxicillin. Klebsiella spp. and Enterobacter spp. were resistant to all the antibiotics tested, except for Streptomycin which they displayed high susceptibility of 100.0% and 66.7% for Klebsiella spp. and Enterobacter spp. respectively. Staphylococcus aureus was found to be resistant completely against all the antibiotics tested. Hence, it is pertinent to embrace hand hygiene so as to minimize the risk of acquiring nosocomial infections due to contaminated hospital equipments.
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