国际口腔医学杂志 ›› 2012, Vol. 39 ›› Issue (4): 449-452.doi: 10.3969/j.issn.1673-5749.2012.04.008

• 论著 • 上一篇    下一篇

超声洁牙时气溶胶与飞沫的检测分析

舒香云1 林东晓1 李莉莉2 陈丽璇1 蒋瑷1 周利文1 高永波1   

  1. 1.深圳市龙岗中心医院口腔科 深圳 518116; 2.吉林大学口腔医院感染控制办公室 长春 130041
  • 收稿日期:2012-01-21 修回日期:2012-04-29 出版日期:2012-07-01 发布日期:2012-07-01
  • 通讯作者: 高永波,Tel:13602604150
  • 作者简介:舒香云(1973—),女,湖北人,副主任护师,学士
  • 基金资助:

    深圳市科技计划基金资助项目(201103261)

Detection and analysis of aerosols and droplets in the ultrasonic scaler

Shu Xiangyun1, Lin Dongxiao1, Li Lili2, Chen Lixuan1, Jiang Ai1, Zhou Liwen1, Gao Yongbo1.   

  1. 1. Dept. of Stomatology, Longgang District Central Hospital of Shenzhen, Shenzhen 518116, China; 2. Dept. of Infection Control, Hospital of Stomatology, Jilin University, Changchun 130041, China
  • Received:2012-01-21 Revised:2012-04-29 Online:2012-07-01 Published:2012-07-01

摘要:

目的   探讨2 种不同的干预措施对洁牙时气溶胶和飞沫在不同距离时的污染程度。方法   采用空气自然沉降法进行气溶胶和飞沫采样,试验组使用具有吸唾功能的开口器,对照组使用常规强负压吸唾管,在患者头部高度的正前方、左侧、右侧各50、100、150 cm 处放置营养琼脂平板共9 块,在洁牙开始前,开始后30、60 min,结束后10 min 分别采样4 次;并在结束后对医生的口罩和办公台面进行物体表面采样,进行菌落数计数和菌种分类鉴定。结果    在相同方位的50、100 cm 距离处洁牙30、60 min 后的样本细菌菌落数上,试验组和对照组间的差异有统计学意义(P<0.01);在相同方位的150 cm 处洁牙30、60 min 后的样本细菌菌落数上,试验组和对照组间的差异有统计学意义(P<0.05);试验组医生的口罩与办公台面细菌落数分别为(1 493±35.73)、(1 538±71.85)CFU·m-3,明显低于对照组的(2 828±59.51)、(3 073±74.27)CFU·m-3;气溶胶和飞沫中查见最常见的病原菌:嗜麦芽糖寡养单胞菌、人苍白杆菌、微球菌属等。结论   使用具有吸唾功能的开口器能更有效地控制气溶胶和飞沫的传播。

关键词: 口腔诊室, 气溶胶, 飞沫, 医院感染

Abstract:

Objective To determine two different interventions and understand pollution levels of aerosols and droplets in the air at different distances. Methods Used the air natural sedimentation to take sample of the aerosols and droplets, experimental group used the opening with aspirator function, control group used the strong negative pressure to attract intervention. Fall out samples were collected with nutritious agar plates placed in nine different spots, in front, left, right 50, 100, 150 cm from head height of the patient. Took the samples for four times, before cleaning teeth, 30 min and 60 min after the start, 10 min after cleaning teeth; took the samples of doctor’s mask and office table surface at the end, and appraisalled the number of colonies and species classification. Results There were significant differences between experimental and control groups, samples of which had bacterial colony counts, which were collected at 30, 60 min after cleaning teeth, 50, 100 cm in the same orientation. The difference was statistically significant(P<0.01). There were significant differences between the experimental and control groups, samples of which had bacterial colony counts, which were collected at 30, 60 min after cleaning teeth, 150 cm in the same orientation. The difference was statistically significant(P<0.05). Bacterial colonies of doctor’s masks and office countertops of experimental group were(1 493±35.73),(1 538±71.85)CFU·m-3, significantly lower than the control group, bacterial colonies of which were(2 828±59.51), (3 073±74.27)CFU·m-3. The found pathogenic microorganisms were identified as Stenotrophomonas maltophilia, Ochrobactrum anthropi, micrococcus and so on. Conclusion Aspirator openings can more effectively control the spread of aerosols and droplets.

Key words: dental clinic, aerosol, droplet, nosocomial infections

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