• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Prehospital emergency care >Prevalence of methicillin-resistant Staphylococcus aureus on the stethoscopes of emergency medical services providers.
【24h】

Prevalence of methicillin-resistant Staphylococcus aureus on the stethoscopes of emergency medical services providers.

机译：急诊医疗服务提供者的听诊器中耐甲氧西林金黄色葡萄球菌的患病率。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: The investigation seeks to determine the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) on the stethoscopes of emergency medical services (EMS) providers. While stethoscopes are known fomites for MRSA, the prevalence of MRSA in the prehospital setting is not well documented in the literature. METHODS: This was a prospective, observational cohort study of 50 stethoscopes provided by consecutive, consenting EMS providers at our academic emergency department (ED). Stethoscopes were swabbed with saline culture applicators and samples were cultured on a commercial MRSA test kit containing mannitol salt agar with oxacillin. After 72 hours of incubation at 37 degrees C, two emergency physicians and one microbiologist analyzed the plates independently. MRSA colonization was recorded as positive if all three reviewers agreed that colonization had occurred. RESULTS: Of 50 stethoscopes, 16 had MRSA colonization, and 16 (32%) EMS professionals had no recollection of when their stethoscopes had been cleaned last. Reported length of time since last cleaning was grouped into six categories: one to seven days, eight to 14 days, 15 to 30 days, 31 to 180 days, 181 days to 365 days, and unknown. The median time frame reported since the last cleaning was one to seven days. In the model, an increase from one time category to the next increased the odds of MRSA colonization by 1.86 (odds ratio = 1.86, p = 0.038). CONCLUSIONS: In this ED setting, MRSA was found on approximately one in three stethoscopes of EMS professionals. A longer length of time since the last stethoscope cleaning increased the odds of MRSA colonization.
机译：目的：该调查旨在确定耐急诊医疗服务提供者的听诊器中耐甲氧西林金黄色葡萄球菌（MRSA）的患病率。虽然听诊器是MRSA的众所周知的毒药，但是在院前环境中MRSA的患病率在文献中并未得到充分记录。方法：这是一项前瞻性，观察性队列研究，研究对象是我们学术急诊科（ED）连续的，同意的EMS提供者提供的50个听诊器。用盐水培养涂药器擦拭听诊器，然后在含有甘露醇盐琼脂和奥沙西林的市售MRSA检测试剂盒上培养样品。在37摄氏度下孵育72小时后，两名急诊医师和一名微生物学家分别对板进行了分析。如果所有三位审稿人都同意发生了定植，则MRSA定植被记录为阳性。结果：在50支听诊器中，有16支有MRSA菌落，并且16名（32％）EMS专业人员没有回想起他们最后一次清洁听诊器的时间。自上次清洁以来报告的时间长度分为六类：一到七天，八到十四天，15到30天，31到180天，181天到365天以及未知。自上次清洁以来报告的中位时间为一到七天。在该模型中，从一种时间类别增加到另一种时间类别，MRSA定植的几率增加了1.86（优势比= 1.86，p = 0.038）。结论：在这种急诊室设置中，在大约三分之二的EMS专业人士听诊器中发现了MRSA。自从上次听诊器清洁以来，较长的时间长度增加了MRSA定植的可能性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号