综合医院护理人员手部病原菌调查分析

Microorganism on Nurse Hands in General Hospital:An Investigation

目的调查综合医院护理人员手部病原菌种类,探讨预防与控制措施。方法对2006年8月医院呼吸科、心内科、消化科、妇产科、胸外科、器官移植中心的27名护理人员进行静脉输液过程中手部病原菌的采样,所有样本进行细菌和真菌培养。结果护理人员手部病原菌不仅检出不动杆菌属、棒杆菌属、成团泛菌(聚团肠杆菌)、大肠埃希菌等条件致病菌,同时还检出金黄色葡萄球菌等致病性较强的细菌,耐甲氧西林凝固酶阴性葡萄球菌在手部大量存在。结论综合医院护理人员操作中手部污染状况较严重,应予高度重视,切实做好医院感染的预防与控制工作。

OBJECTIVE To survey the varieties of microorganism on nurse hands and probe into its controlling measure in general hospital. METHODS We samplecl microorganism of nurse hands during intravenous fluids infusion in the Respiratory Department, the Cardiovascular Department, the Department of Digestion, Gynecology and Obstetrics Department, the Department of Thoracic Surgery and the Department of Organ Transplantation in our hospital. All samples carried out co-cultures of fu：agi and bacteria. RESULTS The varieties of microorganism included not only opportunistic pathogens such as Acinetobacter, Corynebacterium, Pantoea agglomerans （Enter- obacter agglornerans） former, and Escherichia coli, but also strong pathogenic microorganisms such as Staphylo- coccus aureus, and it is so common that finding meticillin-resistant coagulase-negative staphylococci. CONCLUSIONS Nursing staff＇s hands contamination is serious in the process of manipulating operation in general hospital, emphasis should be placed on prophylaxis and control for nosocomial infection.