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尼日利亚拉各斯新冠肺炎大流行期间 一些公共口罩的无菌评估

Toyosi Yekeen Raheem1, Samuel Kayode Akindele1, Oluranti Ojerinola1, Ahmed Ismaila Ochacha1, Kazeem Osuolale2, Samuel Amoo3
1、尼日利亚医学研究所临床诊断实验室
2、尼日利亚医学研究所监测和评估股(生物统计学)
3、尼日利亚医学研究所人类病毒学和基因组学中心

摘要


在全球范围内,口罩的使用是预防 SARS-CoV-2传播的非药物干预措施之一。拉各斯州是新冠肺炎的中
心,因此,该州政府规定在公众和社会集会中必须使用口罩。由于新冠肺炎大流行的传播速度惊人,全球观察到并
报告了口罩和呼吸器短缺的情况。这导致了不同类型的口罩的生产和使用,包括当地制造的不同面料的口罩。2020
年 5月至 2020年 11月期间,从拉各斯州的不同来源选择了总共 400个样品,包括 200个当地织物、100个进口口罩 /
外科口罩和 100个N95口罩。将样品无菌浸入装有 100ml营养肉汤的锥形瓶中,孵育 18-24小时。将肉汤培养物分
两次培养到 Sabouroid葡萄糖琼脂上。其中一个 SDA在室温下培养,另一个在 37℃下培养。还接种血液、巧克力和
MacConkey琼脂平板,并在 37℃下孵育 18-24小时。使用表型鉴定方法鉴定分离物。在总共 400个样品中,346个
(86.5%)没有细菌或真菌生长,44个(11.0%)有一个细菌分离物,10个(2.5%)有细菌分离物的混合生长。在 200
个本地制造的口罩中,39个(19.5%)有一种细菌分离物,9个(4.5%)有两种细菌分离,5个(2.5%)有真菌分离
物,而在 100个进口外科口罩中只有 4个(4.0%)有一个细菌分离物和一个(1.0%)有混合生长的细菌分离物。一个
(1.0%)进口N95口罩只有一个细菌分离物(乳酸杆菌属)。通常,分离的细菌为金黄色葡萄球菌、凝固酶阴性葡萄
球菌、大肠杆菌、克雷伯菌属和乳杆菌属,而真菌分离物为白色念珠菌和烟曲霉。当地制造的口罩被细菌和真菌分
离物污染。没有细菌或真菌生长的面罩的 p值为 0.02,就本研究中测试的面罩而言,具有统计学意义。含有一种细菌
分离物的面罩的 p值为 0.35,而两种不同细菌和真菌分离物的混合生长的 p值则为 0.36,这表明在这些类别中测试的
面罩没有统计学意义。当地制造的口罩更容易受到单一或混合细菌和真菌的污染。建议谨慎使用口罩。

关键词


口罩;呼吸器;不孕症;SARS-CoV-2;新冠;尼日利亚拉各斯

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