بررسی اثربخشی گندزداهای رایج بر باکتری‌های جداشده از سطوح محیطی بخش‌های مختلف یک بیمارستان آموزشی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار گروه میکروب‌شناسی، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران

2 دانشجوی کارشناسی ارشد مهندسی بهداشت محیط، گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی گناباد، گناباد، ایران

3 دانشیار گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی گناباد، گناباد، ایران

4 مربی گروه علوم پایه، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران

5 مربی گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی گناباد، گناباد، ایران

چکیده

زمینه و هدف  عفونت‌های بیمارستانی، از مهم‌ترین مشکلات بیمارستان‌ها و مراکز درمانی هستند و سبب از دست دادن منابع اقتصادی، افزایش مدت‌زمان بستری بیماران و مرگ‌ومیر آن‌ها می‌گردند. استفاده صحیح و اصولی از گندزداها نقش مهمی در کاهش این عفونت‌ها دارند. در مطالعه حاضر، اثربخشی گندزداهای رایج در بخش‌های مختلف یک بیمارستان آموزشی بررسی شد.
مواد و روش‌ها در این مطالعه مقطعی، از بخش‌های مختلف بیمارستان علامه بهلول گنابادی در مجموع 245 نمونه گرفته شد. نمونه‌برداری قبل و بعد از گندزدایی با گندزداهای دکونکس AF 50، پراناسید M1، میکروزد GPH و سارفوسپت کوئیک انجام گرفت. نمونه‌ها روی محیط‌های کشت میکروبی کشت داده شد و بعد از شمارش کلنی‌ها، توسط تست‌های تشخیصی میکروب‌شناسی باکتری‌ها تعیین هویت گردیدند. داده‌ها با استفاده از آزمون آماری ویلکاکسون آنالیز گردید.
یافته‌ها در مطالعه حاضر، بیشترین باکتری گرم مثبت جدا شده، استافیلوکوک اپیدرمیدیس و بیشترین باکتری گرم منفی جدا شده، اشرشیا کلی بود. میانگین قبل و بعد از گندزدایی در گندزداهای دکونکس و میکروزد در تمامی بخش‌ها تفاوت معنی‌داری داشت (0/05>P). درمورد گندزدای پراناسید در بخش‌های زایشگاه و NICU و میکروزد در بخش‌های داخلی و ICU بین میانگین قبل و بعد از گندزدایی، تفاوت معناداری مشاهده نشد (0/05<P).
نتیجه‌گیری نتایج مطالعه نشان داد که مؤثرترین گندزداها دکونکس و میکروزد بودند. ماده گندزدای پراناسید در بخش‌های زنان و زایشگاه و NICU و ماده سارفوسپت کوئیک در بخش‌های داخلی و ICU اثربخشی کمتری داشته‌اند ولی در سایر بخش‌ها اثربخشی خوبی داشته‌اند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Evaluation of Efficacy of the Current Disinfectants on Bacteria Isolated from Different Wards of an Educational Hospital

نویسندگان [English]

  • alireza mohammad zadeh 1
  • rogheye hojjatpanah 2
  • Seyed Ali Sajjadi 3
  • jalal mardaneh 1
  • Nezami Hossein 4
  • Mehdi Ghasemi 5
1 Associate Professor, Department of Microbiology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
2 MSc Student in Environmental Health Engineering, Faculty of Health, Gonabad University of Medical Sciences, Gonabad, Iran
3 Associate Professor, Department of Environment Health Engineering, Faculty of Health, Gonabad University of Medical Sciences, Gonabad, Iran
4 Department of Basic Sciences, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
5 Department of Environment Health Engineering, Gonabad University of Medical Sciences, Gonabad, Iran
چکیده [English]

Introduction: Nosocomial infections are one of the most important problems in hospitals and medical centers which cause loss of economic resources increased length of stay in hospitals and mortality. Correct and appropriate use of antiseptic and disinfectants play an important role in reducing infections. In this study the efficacy of the Current Disinfectants on Bacteria Isolated from Different Wards of an Educational Hospital has been studied.
Materials and methods: In this cross-sectional study, a total of 245 samples were taken from different wards of Allameh Behlul Hospital in Gonabad. Samples were taken before and after disinfection with disinfectants of Deconnex AF50, Peranacide M1, microzed GPH and Sarphosepte Quicks. Samples were cultured on special culture media and identified by biochemical tests and the number of colonies was determined. Data were analyzed using Wilcoxon statistical test.
Results: In the present study, microbial contamination of different sections showed that the most gram -positive bacteria were isolated included Staphylococcus epidermidis, and the most Gram -negative bacteria were isolated included, Escherichia coli. Mean before and after disinfection in deconox and microzed disinfection was significantly different in all parts (P <0.05). For peranaside disinfection in Internal and NICU sections, and in ICU and Maternity before and after There was no significant difference in disinfection (P> 0/05).
Conclusion: The results of this study showed that Deconex and Microzed were among the most effective disinfectants. Peranaside disinfectant in the maternity and NICU sections, and the Sarphosepte Quicks were also less effective in the Internal and ICU sections, but had good efficacy in other sections. 

کلیدواژه‌ها [English]

  • Bacterium
  • Disinfectant
  • Hospital
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دوره 28، شماره 2
خرداد و تیر 1400
صفحه 214-221
  • تاریخ دریافت: 14 بهمن 1398
  • تاریخ بازنگری: 09 فروردین 1399
  • تاریخ پذیرش: 09 فروردین 1399
  • تاریخ اولین انتشار: 01 خرداد 1400