| Autor: |
Serra Neto A; Departamento de Cirurgia Geral, Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís 65020-070, Brazil., Marques SG; Departamento de Planejamento de Gestão da Qualidade e Vigilância em Saúde, Hospital Universitário da Universidade Federal do Maranhão (HUUFMA), São Luís 65020-070, Brazil., Bomfim MRQ; Departamento de Biologia Molecular, Universidade Ceuma (UNICEUMA), São Luís 65075-120, Brazil., Monteiro SG; Departamento de Biologia, Universidade Federal do Maranhão (UFMA), São Luís 65080-805, Brazil., de Souza RC; Departamento de Medicina, Universidade Federal do Maranhão (UFMA), São Luís 65080-805, Brazil., Nunes RA; Departamento de Cirurgia Geral, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro 20550-900, Brazil. |
| Jazyk: |
angličtina |
| Zdroj: |
Microorganisms [Microorganisms] 2023 Jul 27; Vol. 11 (8). Date of Electronic Publication: 2023 Jul 27. |
| DOI: |
10.3390/microorganisms11081895 |
| Abstrakt: |
Antisepsis of the hands of medical personnel is one of the most important steps in the process of patient care, since direct contact can cause the cross-transfer of potentially pathogenic microorganisms at surgical sites. This study aimed to analyze the prevalence of microorganisms on the hands of 131 surgeons in a university hospital before the surgical procedure. Swabs were collected from each clinician's hands before and after handwashing. The samples were placed in a transport medium and immediately delivered to a private clinical analysis laboratory from São Luis-Maranhão. The microorganisms were identified by ionization source mass spectrometry and matrix-assisted laser desorption (MALDI-TOF), and antibiotic susceptibility tests (AST) were performed using the Vitek2 and Phoenix-BD automated system. The results showed a high frequency (100%) of microorganisms before handwashing, but after surgical antisepsis, the rate dropped significantly ( p < 0.05) to 27.5%. The gram-positive species most detected were Staphylococcus spp. and Micrococcus luteus , representing 83.9%, followed by gram-negative species, Stenotrophomonas maltophilia , Acinetobacter baumanii , Pseudomonas aeruginosa , Pseudomonas gessardi , Pantoea septica , Serratia marcescens , and Burkholderia lata. The effectiveness of hand antisepsis was 72.5%, demonstrating that surgeons' hands are an important source of microorganisms that can cause infections in hospitalized patients in different care settings. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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