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Analysis of Healthcare Convergence on Bacterial Contamination of Radiological Equipment in Emergency Rooms of General Hospitals

종합병원 응급실내의 영상의학과 장비에서의 세균 오염에 관한 보건학적 융합 분석

  • 홍동희 (극동대학교 방사선학과) ;
  • 박미순 (한국임상의학 연구소 병리과)
  • Received : 2016.11.06
  • Accepted : 2017.01.20
  • Published : 2017.01.28

Abstract

It is to establish preliminary data about healthcare convergencr of infection control by performing a bacterial contamination test for CT scanner as well as general radiographic systems in the emergency rooms of general hospitals. The period was December 1 ~ December 31, 2015. It is detect in the emergency rooms of 7 medical facilities including 2 in Seoul, and 1 in Gyeonggi-do Province, and 2 in Jeonla-do Province, and 2 in Chungcheong-do Province. The surface contamination strains detected from CT scanner in the radiology department emergency rooms were Micrococcus species(4,5%), Stenotrophomonas maltophilia(9%), Enterococcus faecium(4.5%), Providencia stuartii(4.5), and Gram negative bacilli(4.5%). Also, the surface contamination strains detected from general radiographic system in the radiology department emergency rooms were Providencia stuartii(11%), Klebsiella pneumonia(3.5%), Stenotrophomonas maltophilia(11%), Pantoea species(11%), Acinetobacter baumannii(3.5%), Micrococcus species(3.5%), Escherichia coli(3.5%), Enterobacter species(3.5%), and Gram negative bacilli(11%). Considering that the regions of most detection were all the places closely related to patients, radiologists would have to thoroughly clean with alcohol before and after a test.

본 연구는 종합병원 내 응급실에 설치된 CT 장비와 일반촬영장비에 대한 세균 오염도 검사를 실시하여 보건학적 융복합 감염관리에 대한 기초자료를 마련하고자 하였다. 연구는 2015년 12월 1일부터 12월 31일까지 수도권 3곳과 전라도 2곳, 충청도 2곳 등 총 7곳의 의료기관을 대상으로하였다. 영상의학과 응급실 내 CT장비의 검출된 표면 오염 균주는 Micrococcus species(4,5%), Stenotrophomonas maltophilia(9%), Enteococcus faecium(4.5%), Providencia stuartii(4.5), Gram negative bacilli(4.5%), 일반촬영장비에서 검출된 표면 오염 균주는 Providencia stuartii(11%), Klebsiella pneumonia(3.5%), Stenotrophomonas maltophilia(11%), Pantoea species(11%), Acinetobacter baumannii(3.5%), Micrococcus species(3.5%), Escherichia coli(3.5%), Enterobacter species(3.5%), Gram negative bacilli(11%) 로 병원 감염의 원인균으로 알려진 균주는 없었고, 특이성을 가진 균주 역시 없었지만 가장 많이 검출된 구역이 모두 환자와 밀접한 관련을 갖는 곳이므로 방사선사는 검사 전후 알코올 등으로 깨끗이 닦아내야 할 것이다.

Keywords

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