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Hand Hygiene among Anesthesiologists and Microorganisms Contamination in Anesthesia Environments: A Single-Center Observational Study

摘要Objective To investigate the baseline levels of microorganisms' growth on the hands ofanesthesiologists and in the anesthesia environment at a cancer hospital. Methods This study performed in nine operating rooms and among 25 anesthesiologists at a cancerhospital. Sampling of the hands of anesthesiologists and the anesthesia environment was performed ata ready-to-use operating room before patient contact began and after decontamination. Results Microorganisms' growth results showed that 20% (5/25) of anesthesiologists' hands carriedmicroorganisms (> 10 CFU/cm2) before patient contact began. Female anesthesiologists performed handhygiene better than did their male counterparts, with fewer CFUs (P = 0.0069) and fewer species (P =0.0202). Our study also found that 55.6% (5/9) of ready-to-use operating rooms carried microorganisms(> 5 CFU/cm2). Microorganisms regrowth began quickly (1 hour) after disinfection, and increased gradually over time, reaching the threshold at 4 hours after disinfection. Staphylococcus aureus was isolated from the hands of 20% (5/25) of anesthesiologists and 33.3% (3/9) of operating rooms. Conclusion Our study indicates that male anesthesiologists need to pay more attention to thestandard operating procedures and effect evaluation of hand hygiene, daily cleaning rate of the operating room may be insufficient, and we would suggest that there should be a repeat cleaning every four hours.

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作者 LIU Hong Lei [1] LIU Ya Li [2] SUN Fang Yan [3] LI Zong Chao [4] TAN Hong Yu [4] XU Ying Chun [2] 学术成果认领
作者单位 Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education,Beijing),Department of Anesthesiology,Peking University Cancer Hospital&Institute,Beijing 100142,China;Graduate School,Capital Medical University,Beijing 100069,China [1] Department of Laboratory Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Beijing 100730,China;Graduate School,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Beijing Key Laboratory for Mechanisms Research and Precision Diagnosis of Invasive Fungal Diseases(BZ0447),Beijing 100730,China [2] Infection Control Department,Peking Union Medical College Hospital,Peking Union Medical College,Beijing 100730,China [3] Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education,Beijing),Department of Anesthesiology,Peking University Cancer Hospital&Institute,Beijing 100142,China [4]
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DOI 10.3967/bes2022.128
发布时间 2022-12-16
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