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目的了解综合医院住院病案细菌污染状况,分析病案细菌污染的相关因素,提出预防控制措施。方法采用棉拭涂抹采样法和细菌计数法对不同病区100份病案消毒前后带菌情况进行了检测。结果住院病案均不同程度受到细菌污染,有82%的病案细菌污染量超过卫生部所规定的普通物体表面的带菌标准。病案上检出的细菌主要有枯草芽孢杆菌、凝固酶阴性葡萄球菌、大肠埃希菌、变形杆菌、真菌、沙门菌、不动杆菌、金黄色葡萄球菌、绿脓杆菌等。结论住院病案细菌污染严重,检出致病菌和条件致病菌,应对病案采取消毒措施。
Objective To understand the status of bacterial contamination in inpatient medical records in general hospitals, analyze the related factors of bacterial contamination in medical records and put forward prevention and control measures. Methods Cotton swab smear method and bacterial count method were used to test the bacteriological characteristics of 100 cases before and after disinfection in different wards. Results The hospitalized cases were all contaminated by bacteria to varying degrees, with 82% of the cases of bacterial contamination exceeding the standard of carrying bacteria on the surface of common objects prescribed by the Ministry of Health. Cases detected on the bacteria are Bacillus subtilis, coagulase-negative staphylococcus, Escherichia coli, Proteus, fungi, Salmonella, Acinetobacter, Staphylococcus aureus, Pseudomonas aeruginosa and so on. Conclusions Bacterial contamination in hospitalized cases is serious, pathogenic bacteria and opportunistic pathogens are detected, and disinfection measures should be taken on medical records.