OBJECTIVE To measure the compliance of laboratory personnel with different components of hand hygiene and improve their concerns for prevention.METHODS By checking and evaluating the exposing risks factors,including HIV,HBV and HCV source of infections,we found and formulated effective ways for preventing occupational disease.RESULTS The level of compliance at the end of duty was 95.0%.Pathogenic microorganisms were exclusively found on hands of laboratory personnel who wore jewelry.CONCLUSIONS Accurate evaluation and practical preventive strategies are key factors to reduce the professional exposing risks.Hand hygiene should be directed not only at healthcare workers but also at laboratory personnel.

细菌性角膜炎是眼科常见炎症之一,致病菌多为肺炎链球菌,金黄色葡萄球菌,铜绿假单胞菌,大肠埃希氏菌等[1],而李斯特菌引起角膜炎则少见.李斯特菌是典型的人畜共患病原体,一般存在于污水、泥土和水源中,多可引起人类的脑膜炎和败血症[2].本例中李斯特菌引起角膜炎并发白内障,报告如下:

细菌耐药受到世界性关注.多重耐药菌(Multi drug resistant bacteria,MDRB)产生与流行已构成社会性危害,也是院内感染经验性治疗失败主要因素,了解院内感染菌谱及其MDRB的流行及变化趋势,对指导合理使用抗菌药具有重要意义.现对我院2001年度院内感染菌谱及MDRB进行监测并对易感因素作了初步分析.