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Environmental Culture of Bacteria at the Intensive Care Unit of a Tertiary Hospital in Korea: A Consideration for Improving Medical Environmental Safety and Healthcare-associated Infection

의료관련감염관리 2020년 25권 2호 p.105 ~ 114
시혜진, 김정희, 김남이, 이재백, 엄중식,
소속 상세정보
시혜진 ( Shi Hye-Jin ) - Gachon University School of Medicine Gil Medical Center Department of Internal Medicine
김정희 ( Kim Jung-Hee ) - Institute of Public Health and Environment
김남이 ( Kim Nam-Yee ) - Institute of Public Health and Environment
이재백 ( Lee Jae-Back ) - Gachon University School of Medicine Gil Medical Center Service of Infection Control
엄중식 ( Eom Joong-Sik ) - Institute of Public Health and Environment

Abstract


Background: Intensive care unit (ICU) infections cause major health and financial problems worldwide. Inanimate surfaces and environmental contamination can play a role in the cross-infection of pathogens and associated patient infection. Here, we aimed to identify the pathogens that are present in the ICUs.

Methods: This study analyzed bacterial cultures on 160 environmental samples from the ICU at a tertiary hospital in Incheon.

Results: From cultures of 160 samples, 407 bacteria of 38 species were isolated; of these, 109 (26.8%) were gram-negative and 298 (73.2%) were gram-positive. The common isolation sites were keyboards (38 strains), bed linen sheets (average head, waist, and foot seats) (36 strains), bedside rails (33 strains), and curtains (27 strains). The common bacteria isolated were coagu-lase-negative staphylococci (CNS) (222 strains, 54.5%), Acinetobacter baumannii (48 strains, 11.8%), Pseudomonas aeruginosa (33 strains, 8.1%), and Enterococcus faecium (24 strains, 5.9%). A total of 60 multidrug-resistant strains were isolated. There were multidrug-resistant Acinetobacter baumannii (MRAB) (n=32), multidrug-resistant Pseudomonas aeruginosa (MRPA) (n=2), vancomycin-resistant Enterococcus (VRE) (n=20), and carbapenem-resistant Enterobacteriaceae (CRE) (n=6).

Conclusion: It was confirmed that large numbers of multidrug-resistant bacteria, such as VRE and CRE, colonized the environment in the ICU of this tertiary hospital. Taken together, the findings of this study will inform consideration of new intervention plans for in-hospital medical infection control programs in the future, especially in critical care units.

키워드

Bacteria; Multidrug resistance; Intensive care units; Cross infection; Infection control

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