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医院空气环境中微生物的采集方法及其时空分布研究

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目的 了解医院内环境空气中金黄色葡萄球菌、流感病毒等微生物的时间和空间分布,为医院感染研判、风险分析及消毒处置提供支持.方法 2023年2-4月,使用Anderson六级采样器和气旋式生物气溶胶采集仪在北京某医院新生儿ICU、新生儿内科病房、门诊楼2层大厅、呼吸科病房等4个地点采集空气样本,采集频率为每周2次,共收集样本292份,其中146份用于细菌培养,另146份用于病毒富集.用多重实时荧光定量PCR方法筛查金黄色葡萄球菌等6种细菌和流感病毒等12种病毒.结果 从146份细菌培养样本中检出金黄色葡萄球菌30份(20.55%)、铜绿假单胞菌16份(10.96%)、肺炎克雷伯菌2份(1.73%);从146份病毒富集样本中检出甲型流感病毒1份(0.68%)、乙型流感病毒1份(0.68%).金黄色葡萄球菌在3月份检出率最高(24.07%),铜绿假单胞菌在2月份检出率最高(14.71%);金黄色葡萄球菌在门诊楼2层大厅检出率最高(22.73%),铜绿假单胞菌在新生儿ICU检出率最高(28.57%).检出金黄色葡萄球菌的样本在不同采样月份检出率差异有统计学意义(P=0.027).结论 2023年2-4月北京某医院内不同时间和地点的空气环境中存在与医院感染相关的病原体,其中金黄色葡萄球菌检出率最高,其次为铜绿假单胞菌和肺炎克雷伯菌.
Study on the bioaerosol sampling methods and the distribution of microorganisms in hospital air
Objective To understand the temporal and spatial distribution of microorganisms such as Staphylococcus aureus and influenza virus in the air of hospital environment,in order to provide support for hospital infection research,risk analysis and sterilization and disposal.Methods From February to April 2023,air samples were collected from four locations,including the neonatal ICU,neonatal internal medicine ward,the lobby on the second floor of the outpatient building,and respiratory ward of a hospital in Beijing,using six-stage Anderson microbiological impactor and cyclonic bioaerosol sampler.The collected frequency was twice a week,and a total of 292 samples were collected,of which 146 were used for bacterial culture and another 146 were used for virus enrichment.Multiple Real-time fluorescence quantitative PCR method was used to screen 6 kinds of bacteria such as Staphylococcus aureus and 12 kinds of viruse such as influenza virus.Results Out of 146 bacterial culture samples,30 were tested positive for Staphylococcus aureus(20.55%),16 were positive for Pseudomonas aeruginosa(10.96%),and 2 were positive for Klebsiella pneumoniae(1.73%).Out of 146 virus enriched samples,1(0.68%)was positive for influenza A virus and 1(0.68%)was positive for influenza B virus.The positive rate of Staphylococcus aureus was the highest in March(24.07%),while the positive rate of Pseudomonas aeruginosa was highest in February(14.71%).The positive rate of Staphylococcus aureus was the highest in the lobby on the second floor of the outpatient building(22.73%),the positive rate of Pseudomonas aeruginosa was the highest in the neonatal ICU(28.57%).Among them,there was a statistically significant difference in the positive rate of Staphylococcus aureus in different sampling months(P=0.027).Conclusion From February to April 2023,the highest positive rate of Staphylococcus aureus related to hospital infection was found in the air environment of a hospital in Beijing,followed by Pseudomonas aeruginosa and Klebsiella pneumoniae.

MicrobesAerosolSampling methodSpatial distributionTemporal distributionHospital environment

马雪征、魏昭慧、魏心妍、王茜、王锐、赵地、彭静、李滢、陈晓芹、胡孔新

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中国检验检疫科学研究院卫检所,北京 100176

首都医科大学燕京医学院

首都医科大学附属北京儿童医院

微生物 气溶胶 采集方法 空间分布 时间分布 医院环境

国家重点研发计划项目中国检验检疫科学研究院基本科研业务费项目

2023YFF06131042022JK12

2024

中国国境卫生检疫杂志
中国质检报刊社

中国国境卫生检疫杂志

CSTPCD
影响因子:0.415
ISSN:1004-9770
年,卷(期):2024.47(3)
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