一个绝对被我们忽视的环节
Cell phones used by patients and their visitors were twice as likely to contain potentially dangerous bacteria as those of healthcare workers (HCW), according to a study published in the June issue of the American Journal of Infection Control, the official publication of APIC - the Association for Professionals in Infection Control and Epidemiology.A team of researchers from the Department of Medical Microbiology at Inonu University in Malatya, Turkey collected swab samples from three parts of cell phones—the keypad, microphone and ear piece. A total of 200 mobile phones (MPs) were cultured for the study, 67 of which belonged to medical employees and 133 to patients, patients’ companions and visitors. The researchers found that 39.6 percent of the patient group phones and 20.6 percent of HCW phones tested positive for pathogens. Additionally, seven patient phones contained multidrug resistant (MDR) pathogens such as methicillin-resistant Staphylococcus aureus (MRSA) and multiply resistant gram-negative organisms, while no HCW phones tested positive for MDR pathogens.
“The types of bacteria that were found on the patients’ MPs and their resistance patterns were very worrisome,” state the authors. “Some investigators have reported that MPs of medical personnel may be a potential source of bacterial pathogens in the hospital setting. Our findings suggest that mobile phones of patients, patients’ companions and visitors represent higher risk for nosocomial pathogen colonization than those of HCWs. Specific infection control measures may be required for this threat.”
Hospital-acquired infections affect more than 25 percent of admitted patients in developing countries. In U.S. hospitals, they cause 1.7 million infections a year and are associated with approximately 100,000 deaths. It is estimated that one third of these infections could be prevented by adhering to standard infection control guidelines.
我们曾关注过医务人员的手机，但似乎我们从未关注过患者、家属及探访者的手机！此篇摘要，向我们提示：感控无所不在，需要拓展我们的预防控制范围。 的确是“忽视的环节”，但是如何做干预呢？宣传手卫生？隔离制度？很纠结。。。。发现问题，感控人能做什么？ 这个世界还有几片净土啊？院感工作确实任重而道远。 回复 1# 桃子妖妖
老师：麻烦辛苦一下，可不可以翻译成中文？ 我准备从电脑键盘的卫生抓起，搞一个目标监测，用事实让大家养成好的用键盘习惯。 确实是“忽视的环节”，这样的环节还有很多吧，想起来真可怕，看来得更加认真努力的工作了 我们采集过各临床科室的键盘采样结果都严重超标，采取的措施：每周二次的擦拭！还有空调--院感工作不容忽视每个环节，院感工作任重道远------ 院感工作确实任重而道远啊，我们必须注意每个环节 院感就是事杂，全院上下每个角落都播散着院感的因子。 我们也是只关心工作人员的手机、患者和陪护的手，的确忽视了患者和陪护的手机。 请问老师，键盘、手机等物表的的菌落数是多少为符合要求呢？该怎样来评定菌落数超标呢？ 确实，对于患者、家属及探访者的手机，这是一个绝对被我们忽视的环节！9楼王一茜老师说得好，全院上下每个角落都播散着院感的因子。对此，我们是否是加强宣传教育，讲解消毒方式，最好能提供消毒产品。 细菌无处不在，我们担心的是耐药菌的扩散 是啊，这些地方确实被我们忽视，院感工作不容忽视每个环节，下月准备普查一下，用事实来教育。键盘、手机等物表的菌落数按三类环境要求吧（传染科按四类环境），个人之见供参考。 手机、座机电话，键盘、门拉手等都是关注对象。 千年睡狐 发表于 2011-7-28 15:33 static/image/common/back.gif
我准备从电脑键盘的卫生抓起，搞一个目标监测，用事实让大家养成好的用键盘习惯。
好主意，可以具体谈谈你的方案吗？ 即便如此，我们该怎样关注患者、家属及探访者的手机呢？ 我们对病房、检验科的键盘进行监测，取样前无作消毒处理，监测结果是有的不超标，超标的也不严重。 学习了，院感无处没有，准备下周对重点科室的电脑键盘和手机采样，然后用事实说话。 我们医院每季度对物品采样时，加计算机鼠标、门把手、冰箱开门处也进行采样，监测结果超标科室，下次进行复查。医务人员手卫生依从性差。
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