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美国卫生研究院文献>GMS Krankenhaushygiene interdisziplin
>Handling of laundry in nursing homes in Frankfurt am Main, Germany, 2016 – laundry and professional clothing as potential pathways of bacterial transfer
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Handling of laundry in nursing homes in Frankfurt am Main, Germany, 2016 – laundry and professional clothing as potential pathways of bacterial transfer
Background: In accordance with the German Infection Protection Act, the treatment and handling of laundry was checked by the Public Health Department in 2016 in all Frankfurt nursing homes with special focus on the staff’s clothing.Methods: On-site visits and surveys were conducted in all 44 nursing homes in Frankfurt/Main, Germany, and random microbiological examinations of 58 reprocessed and 58 already worn protective gowns were performed to determine the numbers of the colony forming units (cfu) and microbiological differentiation of the pathogen species.Results: 41 (93%) of the 44 homes tested had contracted a certified laundry service. 23 (52%) of the homes also ran a laundry of their own; in 21 of these, laundry was reprocessed and disinfected in an industrial washing machine. Regular technical or microbiological tests were carried out in 16 or 12 of the home-owned laundries, respectively. Only 31 homes (70%) provided uniforms for their employees. The staff’s clothing was processed in 25 homes by the external laundry, in 9 homes by the internal laundry, and in 12 homes, the nursing staff had to do this privately at their own home.Used coats exhibited significantly higher contamination than freshly prepared ones (median: 80 vs. 2 cfu/25 cm2; P 95 percentile: 256 cfu vs. 81 cfu/25 cm2). Clothing prepared in private homes showed significantly higher contamination rates than those washed in the certified external laundry or in the nursing homes themselves (Median: 16 cfu/25 cm2 vs. 0.5–1 cfu/25 cm2).Conclusion: Considering various publications on pathogen transfers and outbreaks due to contaminated laundry in medical facilities, the treatment of laundry, in particular the uniforms, must be given more attention, also in nursing homes for the elderly. The private reprocessing of occupational clothing by the employees at home must be rejected on hygienic principles, and is furthermore prohibited by law in Germany.
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机译:背景 strong>:根据德国《感染保护法》,公共卫生部门于2016年在法兰克福所有疗养院对衣物的处理和处理进行了检查,重点关注工作人员的衣服。方法: strong>在德国美因河畔法兰克福的所有44家疗养院中进行了现场访问和调查,并对58份重新加工的和58份已经磨损的防护服进行了随机微生物学检查,以确定菌落形成单位的数量( 结果 strong>:测试的44个房屋中,有41个(93%)签有经过认证的洗衣服务。 23所房屋(52%)也自己洗衣服;其中的21种衣物在工业洗衣机中进行了重新处理和消毒。分别在16或12个家庭洗衣店中进行了常规的技术或微生物测试。只有31所房屋(70%)为员工提供制服。工作人员的衣服在25个家庭中由外部洗衣房处理,在9个家庭中由内部洗衣房处理,在12个家庭中,护理人员必须在自己的家中私下进行处理。中位数:80对2 cfu / 25 cm 2 sup>; P 95%:256 cfu对81 cfu / 25 cm 2 sup>)。与在认证的外部洗衣房或疗养院中洗过的衣服相比,在私人住宅中准备的衣服显示出更高的污染率(中位数:16 cfu / 25 cm 2 sup>与0.5–1 cfu / 25 cm < sup> 2 sup>)。结论: strong>考虑到有关医疗机构因衣物污染而造成的病原体转移和爆发的各种出版物,必须特别重视衣物的处理,尤其是制服在老人院也是如此。根据卫生原则,必须拒绝在家中员工私下加工职业服装,而且德国法律禁止这样做。
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