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פותח על ידי קלירמאש פתרונות בע"מ -
Contamination of portable radiograph equipment with resistant bacteria in the ICU
Year:
2009
Source of publication :
Chest
Authors :
שץ, אולגה
;
.
Volume :
136
Co-Authors:
Levin, P.D., Department of Anesthesiology and Critical Care Medicine, Jerusalem, Israel, Hadassah Hebrew University Hospital, Anesthesia and Critical Care Medicine, PO Box 12000, Jerusalem 91120, Israel
Shatz, O., Department of Internal Medicine, Jerusalem, Israel
Sviri, S., Department of Internal Medicine, Jerusalem, Israel
Moriah, D., Department of Anesthesiology and Critical Care Medicine, Jerusalem, Israel
Or-Barbash, A., Hebrew University-Hadassah Medical School, Jerusalem, Israel
Sprung, C.L., Department of Anesthesiology and Critical Care Medicine, Jerusalem, Israel
Moses, A.E., Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Block, C., Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Facilitators :
From page:
426
To page:
432
(
Total pages:
7
)
Abstract:
Background: Approximately 15% of nosocomial infections in the ICU result from spread of bacteria on caregivers' hands. The routine chest radiograph provides an unexamined opportunity for bacterial spread: close contact with each patient and sequential examination of ICU patients. This study examined infection control procedures performed during routine chest radiographs, assessed whether resistant bacteria were transferred to the radiograph machine, and determined whether improved infection control practices by radiograph technicians could reduce bacterial transfer. Methods: Radiograph technicians were observed performing chest radiographs on all ICU patients. Culture specimens were taken from the radiograph machine. An educational intervention directed at technicians was instituted, and its effect on infection control and machine contamination was measured. Results: Surveillance of 173, 113, and 120 chest radiographs during observation, intervention, and follow-up periods was performed. Adequate infection control was practiced during the performance of 2 of 173 observation period radiographs (1%), 48 of 113 intervention period radiographs (42%; p < 0.001), and 12 of 120 follow-up period radiographs (10%; (p < 0.001) [follow-up vs intervention and observation periods]. Radiograph machine surface culture samples yielded resistant Gram-negative bacteria on 12 of 30 occasions (39%), 0 of 29 occasions, and 7 of 14 occasions (50%), respectively, for the observation, intervention, and follow-up periods (p < 0.001). Conclusion: Multiresistant bacteria are frequently transferred from patients to the radiograph machine in the presence of poor infection control practices, and may be a source of cross-infection/colonization. Improved infection control practices decrease the occurrence of resistant organisms on the radiograph equipment. Radiograph technicians should be included in efforts to improve infection control measures. Copyright © 2009 American College of Chest Physicians.
Note:
Related Files :
adult
bacterium culture
equipment
Female
infection control
intensive care unit
Male
עוד תגיות
תוכן קשור
More details
DOI :
10.1378/chest.09-0049
Article number:
Affiliations:
Database:
סקופוס
Publication Type:
מאמר
;
.
Language:
אנגלית
Editors' remarks:
ID:
21731
Last updated date:
02/03/2022 17:27
Creation date:
16/04/2018 23:46
Scientific Publication
Contamination of portable radiograph equipment with resistant bacteria in the ICU
136
Levin, P.D., Department of Anesthesiology and Critical Care Medicine, Jerusalem, Israel, Hadassah Hebrew University Hospital, Anesthesia and Critical Care Medicine, PO Box 12000, Jerusalem 91120, Israel
Shatz, O., Department of Internal Medicine, Jerusalem, Israel
Sviri, S., Department of Internal Medicine, Jerusalem, Israel
Moriah, D., Department of Anesthesiology and Critical Care Medicine, Jerusalem, Israel
Or-Barbash, A., Hebrew University-Hadassah Medical School, Jerusalem, Israel
Sprung, C.L., Department of Anesthesiology and Critical Care Medicine, Jerusalem, Israel
Moses, A.E., Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Block, C., Department of Clinical Microbiology and Infectious Diseases, Hadassah Hebrew University Medical Center, Jerusalem, Israel
Contamination of portable radiograph equipment with resistant bacteria in the ICU
Background: Approximately 15% of nosocomial infections in the ICU result from spread of bacteria on caregivers' hands. The routine chest radiograph provides an unexamined opportunity for bacterial spread: close contact with each patient and sequential examination of ICU patients. This study examined infection control procedures performed during routine chest radiographs, assessed whether resistant bacteria were transferred to the radiograph machine, and determined whether improved infection control practices by radiograph technicians could reduce bacterial transfer. Methods: Radiograph technicians were observed performing chest radiographs on all ICU patients. Culture specimens were taken from the radiograph machine. An educational intervention directed at technicians was instituted, and its effect on infection control and machine contamination was measured. Results: Surveillance of 173, 113, and 120 chest radiographs during observation, intervention, and follow-up periods was performed. Adequate infection control was practiced during the performance of 2 of 173 observation period radiographs (1%), 48 of 113 intervention period radiographs (42%; p < 0.001), and 12 of 120 follow-up period radiographs (10%; (p < 0.001) [follow-up vs intervention and observation periods]. Radiograph machine surface culture samples yielded resistant Gram-negative bacteria on 12 of 30 occasions (39%), 0 of 29 occasions, and 7 of 14 occasions (50%), respectively, for the observation, intervention, and follow-up periods (p < 0.001). Conclusion: Multiresistant bacteria are frequently transferred from patients to the radiograph machine in the presence of poor infection control practices, and may be a source of cross-infection/colonization. Improved infection control practices decrease the occurrence of resistant organisms on the radiograph equipment. Radiograph technicians should be included in efforts to improve infection control measures. Copyright © 2009 American College of Chest Physicians.
Scientific Publication
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