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医疗机构水源性感染研究进展

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医疗供水系统可能成为水源性感染病原体的贮存场所,受污染的医疗用水常导致医院感染及暴发事件,给医院感染的预防与控制带来挑战。一些水源性病原体,如铜绿假单胞菌、军团菌、非结核分枝杆菌、不动杆菌、嗜麦芽窄食单胞菌等常通过供水系统繁殖与传播,供水系统的水温、余氯浓度及生物膜是关键影响因素。现对近年来医疗机构水源性感染的现状、供水系统特点及影响因素,以及国内外相关水源性感染事件进行综述,以期为医疗机构水源性感染防控带来新的启示。
Research progress on waterborne infection in medical institutions
Hospital water supply system may serve as a reservoir of waterborne pathogens,and contaminated wa-ter can lead to the occurrence and outbreak of healthcare-associated infection(HAI),which bring great challenge to the prevention and control of HAI.Waterborne pathogens,such as Pseudomonas aeruginosa,Legionella,no-tu-berculous Mycobacterium,Acinetobacter,and Stenotrophomonas maltophilia,often propagate and spread through the water supply system.Water temperature,residual chlorine concentration,and biofilm in water supply system are key influencing factors.This article reviews the current situation of waterborne infection,characteristics and in-fluencing factors of water supply system in medical institutions in recent years,as well as related waterborne infec-tion events at home and abroad,so as to bring new insights for the prevention and control of waterborne infection in medical institutions.

hospital water supplywaterborne pathogenhealthcare-associated infectionbiofilm

郑鹏、汪邦芳、林佳冰、史庆丰

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江苏大学附属武进医院感染管理科,江苏常州 213000

徐州医科大学武进临床学院,江苏常州 213000

上海市老年医学中心医务科,上海 201104

复旦大学附属中山医院感染管理科,上海 200032

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医疗供水 水源性感染病原体 医院感染 生物膜

上海市卫生健康委员会卫生健康政策研究课题复旦大学附属中山医院院内发展基金资助项目复旦大学附属中山医院院内发展基金资助项目复旦大学附属中山医院青年基金

2024HP412021ZSFZ142021ZSFZ092020ZSQN33

2024

中国感染控制杂志
中南大学

中国感染控制杂志

CSTPCD北大核心
影响因子:2.112
ISSN:1671-9638
年,卷(期):2024.23(8)