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摘要


臨床微生物實驗室人員容易暴露在感染性病原的環境中,感染風險因此比一般民眾高。常見造成實驗室感染的病原為細菌、病毒、黴菌。細菌感染中較常造成感染者為結核桿菌、布氏桿菌、腦膜炎雙球菌、腸道病原菌及生物戰劑相關的細菌(土倫病法蘭西斯氏菌與炭疽桿菌)。病毒感染以血液傳播病原較常見,有B型肝炎病毒、C型肝炎病毒與人類免疫不全病毒。黴菌感染主要是雙型黴菌(dimorphic fungi)所造成。臨床微生物實驗室必須與臨床醫師有良好的溝通管道,當臨床醫師懷疑病患為高危險病原的感染時應主動即時通知實驗室操作人員以降低實驗室感染。實驗室應該制定感染管制政策,以預防實驗室感染的發生。

關鍵字

實驗室感染

並列摘要


Clinical microbiologists are exposed to a variety of pathogenic microorganisms that may cause infection. Laboratory acquired infections due to a wide variety of bacteria, viruses and fungi. It has been reported that Mycobacterium tuberculosis, Brucella species, Neisseria meningitides, enteric pathogen and biological agents (Francisella tularensis and Bacillus anthracis) are the most common causes. Virus infections mainly caused by blood transmitted pathogens including hepatitis B virus, hepatitis C virus and human immunodeficiency virus. Fungal infections predominantly caused by dimorphic fungi. Physicians should take notice of the significance of alerting the laboratory if patient infected with a high-risk agent is suspected. Infection control policy shall be strictly carried out to prevent laboratory acquired infection.

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