医护人员使用的手机病菌定植律的调查

David

Journal of Hospital Infection
Volume 70, Issue 2, October 2008, Pages 160-165

Use of mobile phones by medical staff at Queen Elizabeth Hospital, Barbados: evidence for both benefit and harm
医护人员使用的手机病菌定植律的调查
J. Ramesha, A.O. Cartera, M.H. Campbell, a, , N. Gibbonsa, C. Powletta, H. Moseley Sra, D. Lewisa and T. Cartera

aQueen Elizabeth Hospital, Faculty of Medical Sciences, University of the West Indies, Cave Hill Campus, Bridgetown, Barbados
Received 23 January 2008;  accepted 6 June 2008.  Available online 12 August 2008.

Summary
All members of medical staff, including students, were asked to participate in a self-administered questionnaire concerning patterns of mobile phone use and care. Participants' phones were cultured for micro-organisms. Healthcare professionals working in close proximity to sensitive equipment were surveyed concerning adverse events associated with mobile phones. Telephone operators were asked to monitor time elapsed as they attempted to contact medical staff by various methods. Of 266 medical staff and students at the time of the study, 116 completed questionnaires (response rate = 44%). Almost all (98%) used mobile phones: 67% used their mobile phones for hospital-related matters; 47% reported using their phone while attending patients. Only 3% reported washing their hands after use and 53% reported never cleaning their phone. In total, 101 mobile phones were cultured for micro-organisms; 45% were culture-positive and 15% grew Gram-negative pathogens. The survey of staff working in close proximity to sensitive equipment revealed only one report of minor interference with life-saving equipment. Telephone operators were able to contact medical staff within 2 min most easily by mobile phone. Mobile phones were used widely by staff and were considered by most participants as a more efficient means of communication. However, microbial contamination is a risk associated with the infrequent cleaning of phones. Hospitals should develop policies to address the hygiene of mobile phones.

Keywords: Mobile phones; Hospital infection; Staff questionnaire

zyf1981

:loveliness: :loveliness: 水平太低，看不懂

控制感染

水平太低:'( :'(

潮水

Mobile phones may be source of hospital infections

NEW YORK (Reuters Health) - Mobile phones used by hospital healthcare workers are often contaminated with germs, including those that can causes illness in hospitalized patients, a Turkish research team reports.

Dr. Fatma Ulger and others at Ondokuz Mayis University, Samsun, swabbed the dominant hand and the mobile phones of 200 doctors, nurses, and other healthcare staff working in intensive care units and operating rooms.

They found that 95 percent of telephones were contaminated, often with more than one type of microbe, and often with antibiotic-resistant bacteria.

Potentially serious infectious bugs such as staphylococci were isolated from phones in intensive care units, the team reports in the online BMC journal Annals of Clinical Microbiology and Antimicrobials.

When the study participants were questioned, 90 percent said they never cleaned their mobile phones. The investigators conclude that mobile phones "may facilitate transmission of bacterial isolates from patient to patient in wards or hospitals."

They recommend routine decontamination of mobile phones with alcohol-containing disinfectants.

SOURCE: Annals of Clinical Microbiology and Antimicrobials 2009.
手机可能是院内感染的新源头
路透社健康副刊，纽约报道~据土耳其一个研究小组报道，医院内医护人员使用的手机经常会被细菌沾染，其中一些可能会导致住院病人发病。Dr. Fatma Ulger和同事提取了200名在重症监护室和手术室工作的医生护士及其他工作人员的手机和主要用手上的病菌（作培养）。他们发现九成五的手机被多种微生物污染，而且多是耐药菌。在ICU工作人员的手机上还发现了链球菌之类的潜在严重致病菌，这发表在BMC 临床微生物与抗微生物治疗年报电子版上.
当被调查者被问及是否擦拭手机时，九成人承认从未清洁手机。这项调查显示，手机可能促进病房及院内病人的交叉感染。
文章建议用含酒精的消毒液定期清洗手机。

潮水

酒精类消毒液清洗会损坏手机吧！表面擦拭消毒效果不知如何？

桃花朵朵

这个问题要注意，工作中不能忽略了手机管理。

苦丁

手机沾染病菌机会多多，特别是医生在查房时手机响了，手也不洗从口袋拿出手机就接听。所以手机可能促进病房及院内病人的交叉感染，这个问题要高度重视！

绿叶

其实，不仅是手机，还有很多无生命体正成为耐药菌传播的媒介，除手机外，还有电脑，书籍等。

禾女玉兔

完全支持绿叶版主的观点:handshake
山西卫生厅就要求医务人员要做到“三不”——不打接手机、不吸烟、不饮酒。:victory:

老虎

手机作为现代人的一样必不可少的工具，基本是人手一部，医院作为一个特殊的单位，这个问题是要高度重视。

毓秀凌波

工作时间接打手机既易造成感染问题也会影响服务形象，我院有规定工作时间不得接打手机，但不好执行，很困惑。

pdyg

同感，很多院感细节不被重视，哎

szfqyyjian

院感管理涉及更多的细节，通过交流我们防范意识得到了增强与提高！

chenjin

那天主任说口腔科的手机我听说是用的手机，不过提出来也得不到重视。

nancywhite

我们医院手术室现在已经停止使用手机，不允许手机带入手术间，我觉得很好。但是其他科室手机的管理其实是很困难的。

八月桂花

回复 6# 绿叶


    完全支持绿叶版主的观点.

fygy

是的  确实是个值得重视的问题    细节决定成败

brine

是的，在医院经常看到医生护士工作中摸出手机就打，的确是院内感染的新介质，需要关注

orchidk

是的，手机问题问题严峻啊，是时候出台相关规定了。手机问题解决了，不仅有助减少病人受感染的机率，同时对医护人员也起到保护作用

brine

可以设计一套标准的SOP，或者有相应的隔离手段供大家使用