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[动态] Johns Hopkins study says:感应式水龙头实际上更脏!(Apr-02-2011)

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发表于 2011-4-5 22:05:17 | 查看全部 |阅读模式 IP:江西南昌
本帖最后由 绿茵场 于 2011-6-13 10:37 编辑

    来自 Johns Hopkins 医学院的研究人员发现使用感应式水龙头,你更有可能感染上细菌。例如导致大叶性肺炎的 Legionella spp(军团菌) 杆菌。
     原因是:这类水龙头比传统水龙头拥有更多的组件,这些组件会带来更多的细菌。
     在调查中研究人员发现50%的感应水龙头上有 Legionella spp 杆菌,于此同时普通水龙头仅仅只有15%。在清洗消毒之后,这个数据下降到了29%,而普通水龙头是7%。
     因此 Johns Hopkins 医学院准备更换掉新医院的感应式水龙头。另外,据说这并不是研究人员第一次提及这个问题了,早在2001年就有人作出了感应水龙头可能会更加危害人类的研究报告。

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18楼有信息更新!
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 楼主| 发表于 2011-4-5 22:10:13 | 查看全部 IP:江西南昌
回复 1# 绿茵场

http://newsfeedresearcher.com/data/articles_m14/faucet-water-electronic.html

Apr-02-2011

Hands-free faucets harbor germs, Johns Hopkins study says

Here's another reason to dislike them: They are more likely to carry deadly bacteria than the old-fashioned manual kind. That's according to a study by researchers at Johns Hopkins University who found electronic faucets which have more parts and valves than manual faucets -- are more likely to grow unacceptably high levels of bacteria. Specifically, they are more likely to have bacteria like Legionella(军团菌), which should not be a concern for the general healthy public, but can be deadly to people with compromised immune systems. The study's authors -- who will present their report Saturday at the annual gathering of the Society for Healthcare Epidemiology of America -- said it raises concerns about the safety of hands-free faucets in hospitals. That's because the no-touch faucets are being used more in health care facilities to conserve water and keep scrubbed hands from being re-contaminated. Leaders at Johns Hopkins Hospital already have announced they will replace hands-free faucets in clinical areas with manual faucets, and no longer plan to install electronic faucets in a new building under construction. [1] During the course of collecting water samples, researchers discovered that all of the electronic faucet parts grew Legionella spp. She explained that the study's findings should not create cause for concern over the use of electronic faucets by the general public. "The levels of bacterial growth in the electronic faucets, particularly the Legionella spp., were of concern because they were beyond the tolerable thresholds determined by the hospital. Exposure to Legionella spp. is dangerous for chronically ill or immune compromised patients because it may cause pneumonia in these vulnerable patients. The levels we found of both Legionella spp. and bacterial burden on HPC were still within the level that is well tolerated by healthy individuals," said Sydnor. Following the study, Johns Hopkins Hospital is replacing electronic faucets in clinical areas with manual faucets, and has decided not to install electronic faucets in clinical areas of its new hospital building now under construction. [2] The faucets will still be used at John Hopkins in restrooms intended for the public. "The levels of bacterial growth in the electronic faucets, particularly the Legionella species, were of concern because they were beyond the tolerable thresholds determined by the hospital," she commented in the release. "Exposure to Legionella species is dangerous for chronically ill or immune compromised patients because it may cause pneumonia in these vulnerable patients. The levels we found of both Legionella species and bacterial burden on HPC were still within the level that is well tolerated by healthy individuals." The suspected reason for the increased contamination in water from the electronic faucets is that they have more parts that can trap bacteria, Sydnor said. She noted that the study involved just one brand of electronic faucet. "There are five extra parts that you wouldn't have in a manual faucet," she said at the news briefing. [3]


感应水龙头更脏?.doc (156 KB, 下载次数: 102)

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参与人数 2 +4 金币 +13 收起 理由
男丁格尔 + 4 + 8 good
toto + 5 我很赞同

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发表于 2011-4-6 08:19:26 | 查看全部 IP:江苏苏州
这可真是颠覆性的结论啊!
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发表于 2011-4-6 08:37:34 | 查看全部 IP:辽宁抚顺
如果是这样,那么对任何一个与感控有关的物件必须有严格的清洗消毒措施方可避免更多的污染,而不是单单强调水龙头的样式。
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发表于 2011-4-6 08:40:49 | 查看全部 IP:山东青岛
感应式水龙这么“脏”,那脚踏式的“干净”吗?
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发表于 2011-4-6 10:01:08 | 查看全部 IP:上海
之前质控检查还要求装感应式水龙头或长柄水龙头,还好我们装了长柄的,要不又要换了。
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发表于 2011-4-7 00:32:34 | 查看全部 IP:陕西西安
又提示评判性思维的重要性!
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发表于 2011-4-7 16:41:38 | 查看全部 IP:安徽芜湖
我们用的是这种长柄的,也挺好。
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发表于 2011-4-8 13:14:28 | 查看全部 IP:河南三门峡
我们开始用的感应式经常坏,后来用的是肘碰式感觉很好,很耐用,但专家检查让换成脚踏式,是否有必要。
没有必要将肘碰换成脚踏式! 
发表于 2012-4-26 19:51
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发表于 2011-4-8 14:07:28 | 查看全部 IP:江苏扬州
感应式水龙这么“脏”,现在有的专家提倡使用感应式水龙,怎么办?
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发表于 2011-4-8 16:11:26 | 查看全部 IP:江苏南京
回复 8# chenalan

很赞同。感控工作本来就在矛盾中前进。
不断的改进,推翻,再改进。观念、意识和设施
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发表于 2011-4-8 16:20:07 | 查看全部 IP:广东广州
水龙头有问题,那水管更有问题。我们这里的水厂说,从自来水厂出来的水是符合饮用标准的,但经过长途水管运输,家里水龙头出来的水就不是原来的情况了。
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发表于 2011-4-8 16:37:51 | 查看全部 IP:江苏南京
回复 1# 绿茵场

看了report,感叹“院感工作在矛盾中进化发展”!
我也提出了自己的质疑:
1.实验开始前,感应水龙头的维护消毒清洗是不是到位?
2.若要比较两种水龙头的效果应该比较新安装的两种龙头,实时监测,然后分期比较,这样是不是更有说服力?
3.本实验仅仅监测了7周,(2008年12月~2009年1月)监测时间是不是足够?

总而言之,本实验给感控带来了新的启示,也对过去的观念提出了挑战。
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发表于 2011-4-8 16:44:20 | 查看全部 IP:陕西西安
这个信息很好,提供了新的思路,但恐怕不能仅就一次研究就下结论,应当再做进一步的调研,多一些循证医学的证据再下结论,否则今天一个样,明天一个样,大家就无所适从了。
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发表于 2011-4-8 16:52:05 | 查看全部 IP:上海
回复 10# hhyytqx
不违反手卫生原则,没有必要更换。脚踏式的缺点是容易坏,肘式值得推广。
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发表于 2011-4-13 10:19:36 | 查看全部 IP:甘肃天水
我们用的是脚踏式的,很方便。
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发表于 2011-4-22 10:43:36 | 查看全部 IP:江苏南京
尊敬的绿茵场版主:

您好!
前些日子,看到您的这篇帖子,“都这样做的,也未必一定是对的”,是一种观念的变革。
有很好的启发意义。

在4月15日,就在约翰霍普京斯关于“电动水龙头有会比手动有更多细菌污染”的报道没有多久,APIC官方发表申明,对这一结论予以了否认。目前还没有偱证医学的证据证明,这一结论是正确的,同时APIC也认为,这是一个非常好的论题,值得进一步研究,确认,究竟是否存在这样的差别。

现在黏贴全文如下:
(详细内容见附件)


Healthcare Engineering and Infection Control Associations Release Statement to Clarify Recently Presented Research on Electronic Faucets
Washington, DC, April 15, 2011 – In a joint statement to their members about the potential infection risks associated with electronic-eye faucets, the American Society for Healthcare Engineering (ASHE) and the Association for Professionals in Infection Control and Epidemiology (APIC) urged healthcare facilities to review additional literature before making policy changes regarding hands-free faucets.
A recent abstract highlighted in the media has been raising concern about the potential for higher occurrence of Legionella spp. in electronic-eye faucets. A limited investigation of water faucets conducted by Johns Hopkins Health System, and presented at the Society for Healthcare Epidemiology of America (SHEA) Annual Scientific Meeting on April 2, 2011 (Sydnor, et.al., “Electronic-eye Faucets: Help or Hindrance to Infection Control and Prevention”), found that 50% of cultures of water from 20 electronic, infrared activated faucets compared with 15% of 20 manual faucets revealed Legionella spp.

“This has been presented as an oral session at a scientific meeting,” said ASHE and APIC in a statement posted to the organizations’ websites. “It has not been published in a peer-reviewed, scientific journal.
明确指出,这一研究结论仅仅是在会议上作为口头发言,并未得到同行评阅通过。也未正式发表。
As such it is an interesting study, but any major changes in policy or actions by others should await publication as more details will be revealed, and peer-review always improves the context and significance of findings. This study also needs to be considered in the context of other published studies and evidence-based guidelines.”
同时,他也肯定了这篇研究的意义,只是谨慎的认为:这样的结论尚有待进一步验证。
The statement issued by ASHE and APIC pointed out that there have been several studies which found that manual, handle-operated faucets were the source of bacterial infections in patients, as well as another study of electronic faucets which did not find these to be a source of bacteria.
“Electronic faucets do help with water conservation as hospitals are an industry noted for its high use of water,” said ASHE and APIC. “This feature also lessens risk of recontamination of hands after washing as there is no need to manually turn off the water supply after use.”他们还肯定了电眼水龙头的积极意义。

这样的学术探讨和研究一定会对我们的观念有所触动,对提高感控工作有很积极的效应。期待进一步的偱证研究,以辅助修订感控指南。

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参与人数 1金币 +10 收起 理由
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发表于 2011-4-22 11:02:02 | 查看全部 IP:上海
医院消毒规范上不是提倡使用非接触水笼头,可用感应/手肘/脚踏的几种,我院正好在建新院,根据要求大部分安装感应的,该怎么办?是否要建议改为手肘/脚踏?请老师指点.谢谢!
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发表于 2011-4-23 16:18:47 | 查看全部 IP:江苏南京
回复 1# 绿茵场

已有更新,见18楼。
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 楼主| 发表于 2011-4-23 21:07:27 | 查看全部 IP:江西南昌
回复 18# 蓝鱼o_0
单一的结论肯定无法提供证据,就像APIC所说,这提供了一种很好的思路。
非常感谢您的分享!
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