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某教學醫院室內空氣之微生物

The Microorganisms of Indoor Air in a Teaching Hospital

摘要


Objectives: The purpose of this study was to determine the level and species of air microorganisms in a teaching hospital so that improvements in air quality could be made. Methods: A one-stage Andersen microbial particle sizing sampler was used to sample the air at five units ill this hospital. On the basis of these results, consecutive sampling and analyses were conducted at one of the locations where the highest microbial levels were found. Results: The levels of air bacteria in the respiratory care ward were comparatively high: daytime levels exceeded the low bacteria standard of 200 cfu/m^3, and the peak level of 934 cfu/m^3 occurred between 1300 and 1500 h. Total bacterial counts correlated positively with relative humidity and the level of carbon dioxide (P<0.01). Coagulase-negative Staphylococci (31.3%) and Staphylococcus aureus (18.8%) were commonly detected in the air of the respiratory care ward, and the dominant fungi species detected were Penicillium (16.7%) and Aspergillus (12.5%). Conclusions: The findings suggest that this teaching hospital should periodically monitor the air for microorganisms. High-efficiency particulate air filters should be used ill areas where those susceptible to infections exist. Appropriate relative humidity levels should be maintained, and the gate-control feature of the ventilation system should be activated to prevent airborne nosocomial infections.

並列摘要


Objectives: The purpose of this study was to determine the level and species of air microorganisms in a teaching hospital so that improvements in air quality could be made. Methods: A one-stage Andersen microbial particle sizing sampler was used to sample the air at five units ill this hospital. On the basis of these results, consecutive sampling and analyses were conducted at one of the locations where the highest microbial levels were found. Results: The levels of air bacteria in the respiratory care ward were comparatively high: daytime levels exceeded the low bacteria standard of 200 cfu/m^3, and the peak level of 934 cfu/m^3 occurred between 1300 and 1500 h. Total bacterial counts correlated positively with relative humidity and the level of carbon dioxide (P<0.01). Coagulase-negative Staphylococci (31.3%) and Staphylococcus aureus (18.8%) were commonly detected in the air of the respiratory care ward, and the dominant fungi species detected were Penicillium (16.7%) and Aspergillus (12.5%). Conclusions: The findings suggest that this teaching hospital should periodically monitor the air for microorganisms. High-efficiency particulate air filters should be used ill areas where those susceptible to infections exist. Appropriate relative humidity levels should be maintained, and the gate-control feature of the ventilation system should be activated to prevent airborne nosocomial infections.

被引用紀錄


蘇紘瑩(2011)。醫療院所室內空氣中真菌與細菌濃度評估與環境影響因子調查〔碩士論文,國立交通大學〕。華藝線上圖書館。https://doi.org/10.6842/NCTU.2011.00933
徐顥榕(2014)。醫院長照單位生物氣膠及其抗生素抗藥性採樣評估〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2014.00115
張博仁(2007)。以實驗室微生物資料為基礎的院內泌尿道感染監視系統之研究〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2007.00132
劉怡汎(2008)。醫院環境生物氣膠暴露與工作者健康研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2008.10025
蕭乃瑜(2008)。建立室內空氣生物氣膠濃度之可行性探討-以辦公大樓與醫療場所為例〔碩士論文,國立臺北科技大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0006-2607200816242400

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