检测必须严格。 预防NTM医院感染不仅涉及住院患者诊疗的诸多环节,而且应当包括一切门诊和多种诊疗机构的侵入性操作,甚至包括像肌电图电极置入这样极其细微的侵入性操作。在哥伦比亚还发生过“足医诊断”(podiatry office)偶然分支杆菌感染暴发事件。美国隆乳及美容术后感染事件受害者大约有60人。这就令人想到,在我国许多传统医学或民间疗法都不同程度地含有侵入性操作,还有目前方兴未艾的我国美容行业的发展,NTM感染的潜在危险需要引起高度警惕。像医院感染管理一样,迫切需要加强这些行业的管理。
参考文献
1,Wallace RJ Jr,Musser JM,Hull SI,et al. Diversity and sources of rapidly growing mycobacteria associated with infections following cardiac surgery. J Infect Dis, 1989,159:708-716.
2,Wallace RJ Jr,Steel LC,Labidi A,et al. Heterogeneity among isolates of rapidly growing mycobacteria responsible for infections following augmentation mammaplasty despite case clustering in Texas and other southern coastal states. J Infect Dis, 1989,160:281-288.
3,Hector JSR,Pang Y,Mazurek GH,et al. Large restriction fragment patterns of genomic Mycobacterium fortuitum DNA as strain-specific markers and their use in epidemiologic investigation of four nosocomial outbreaks. J Clin Microb,1992,30:1250-1255.
4,Camargo D,Saad C,Ruiz F,et al. Iatrogenic outbreaks of M. chelonae skin abscesses. Epidemiol Infect,1996,117:113-119.
5,Nicholson G,Hudson RA,Chadwick MV,et al. The efficacy of the disinfection of bronchoscopes contaminated in vitro with Mycobacterium tuberculosis and Mycobacterium avium-intracellulare in sputum:a comparison of Sactimed-I-Sinald and glutaraldehyde. J Hosp Infect, 1995,29:257-264.
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