诗乐氏消毒法与含碘消毒法对血培养污染率的比较研究

Effect of disinfection by Swashes disinfectant solution versus iodine disinfection on contamination rate of blood culture

  • 摘要: 目的 比较诗乐氏消毒法与含碘消毒法对血培养污染率的干预效果。 方法 选取2017年12月—2018年11月本院感染科收治的住院患者300例为对照组,采用含碘消毒法; 选取2018年12月—2019年11月相关患者300例为观察组,采用诗乐氏消毒法。观察2组患者的污染瓶菌株分布情况及血培养污染率。 结果 3 100个血培养瓶中,血培养呈阳性者177个,阳性率5.7%; 其中,污染瓶40个,污染率1.3%。污染瓶中,菌株比率从高到低依次为凝固酶阴性葡萄球菌(75.0%)、需氧革兰阳性杆菌(15.0%)、链球菌属(7.5%)、其他微生物(2.5%)。观察组血培养污染率为0.5%, 低于对照组的2.0%(P<0.05)。 结论 诗乐氏消毒法可显著降低血培养污染率,杀菌效果较好。

     

    Abstract: Objective To analyze the intervention effect of disinfection by Swashes disinfectant solution and iodine containing disinfection on contamination rate of blood culture. Methods A total of 300 inpatients from December 2017 to November 2018 in infection department of our hospital were included in the control group and 300 cases from December 2018 to November 2019 were selected as observation group. The control group received iodine disinfection while the observation group was disinfected by Swashes disinfectant solution. The distribution of bacterial strains and contamination rate of blood culture in contaminated bottles were observed. Results In 3 100 bottles for blood culture, 177 had positive results for blood culture, with a positive rate of 5.70%, among which 40 were contaminated, with a contamination rate of 1.3%. In all contaminated bottles, the ratio of bacteria in a decreasing sequence was as follows: coagulase-negative staphylococci(75.0%), aerobic Gram-positive bacilli(15.0%), Streptococcus(7.5%), microorganism(2.5%). The contamination rate of blood culture in the observation group was significantly lower than that in the control group(0.5% versus 2.0%, P<0.05). Conclusion Swashes disinfectant solution can reduce contamination rate of blood culture, and has better effect in sterilizing.

     

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