从医院清洁看环境对MRSA生存的重要性

David

THE LANCET Infectious Diseases Volume 8, Issue 2, February 2008, Pages 133-139
Review
Importance of the environment in meticillin-resistant Staphylococcus aureus acquisition: the case for hospital cleaning
从医院清洁看环境对MRSA生存的重要性
Dr Stephanie J Dancer MDa, ,

aDepartment of Microbiology, Southern General Hospital, Glasgow, UK


Available online 31 October 2007.

Summary
In the UK, we continue to debate the importance of hospital cleaning in relation to increasing numbers of patients acquiring meticillin-resistant Staphylococcus aureus (MRSA). However, there is little direct evidence for the effectiveness of cleaning because it has never been afforded scientific status. Hospital hygiene is usually assessed visually, but this does not necessarily correlate with microbiological risk. A more robust case for hospital cleaning can be presented by considering the evidence for all the stages of the staphylococcal transmission cycle between human beings and their environment. Cleaning has already been accepted as an important factor in the control of other hardy environmental pathogens, such as Clostridium difficile, vancomycin-resistant enterococci, norovirus, and Acinetobacter spp. This Review will show why the removal of dirt might have more impact on the control of MRSA than previously thought. Introduction of additional cleaning services is easier than improvements in hand-hygiene compliance.

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leaning has already been accepted as an important factor in the control of other hardy environmental pathogens, such as Clostridium difficile, vancomycin-resistant enterococci, norovirus, and Acinetobacter spp. This Review will show why the removal of dirt might have more impact on the control of MRSA than previously thought. Introduction of additional cleaning services is easier than improvements in hand-hygiene compliance。
清洁已经被认为控制顽固的环境病原体如艰难梭菌、耐万古霉素肠球菌、诺如病毒和不动杆菌的重要因素，这篇综述将告诉我们去除赃物对于MRSA控制的影响比我们原先想的要多。倡导更多的清洁比提高手卫生的依从性容易。
这正验证了WHO所提倡的“清洁的医疗护理更安全”中清洁的环境的重要性！