Assessment of materials commonly utilized in health care: Implications for bacterial survival and transmission

Lankford, Mary G.; Collins, Susan M.; Youngberg, Larry; Rooney, Denise M.; Warren, Janet I.; Noskin, Gary A.

doi:10.1016/j.ajic.2005.10.008

Cited by 72 publications

(67 citation statements)

References 20 publications

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“…Multiple cleaning practices fail to remove VRE from a range of sites, despite use of powerful disinfectants (54)(55)(56)(57). There are reports showing that surfaces remain contaminated with VRE when cleaning cloths are reused on sequential surfaces, when there is inadequate contact time between a surface and applied disinfectant, and when items or surface are sprayed and wiped over, rather than being actively scrubbed (3,18,55,58).…”

Section: Vrementioning

confidence: 99%

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

2014

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SUMMARY There is increasing interest in the role of cleaning for managing hospital-acquired infections (HAI). Pathogens such as vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), multiresistant Gram-negative bacilli, norovirus, and Clostridium difficile persist in the health care environment for days. Both detergent- and disinfectant-based cleaning can help control these pathogens, although difficulties with measuring cleanliness have compromised the quality of published evidence. Traditional cleaning methods are notoriously inefficient for decontamination, and new approaches have been proposed, including disinfectants, steam, automated dispersal systems, and antimicrobial surfaces. These methods are difficult to evaluate for cost-effectiveness because environmental data are not usually modeled against patient outcome. Recent studies have reported the value of physically removing soil using detergent, compared with more expensive (and toxic) disinfectants. Simple cleaning methods should be evaluated against nonmanual disinfection using standardized sampling and surveillance. Given worldwide concern over escalating antimicrobial resistance, it is clear that more studies on health care decontamination are required. Cleaning schedules should be adapted to reflect clinical risk, location, type of site, and hand touch frequency and should be evaluated for cost versus benefit for both routine and outbreak situations. Forthcoming evidence on the role of antimicrobial surfaces could supplement infection prevention strategies for health care environments, including those targeting multidrug-resistant pathogens.

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Section: Vrementioning

confidence: 99%

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

2014

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“…Various inanimate objects have been evaluated for the presence of MRSA includes soap, soap dispensers and towels, 4,5 moreover S. aureus transfers to surgical gowns 6 to cotton fabrics 7 and survive for days on various types of fabrics. 8,9 MRSA could be isolated from a variety of frequently touched surfaces including wiping cloths, dishtowels as well as badges, lanyards and coats worn by health care workers. [10][11][12] Contaminated environmental surfaces have been shown to play a significant role during outbreaks in long term care facilities.…”

Section: Ethicillin-resistant Staphylococcus Aureus (Mrsa)mentioning

confidence: 99%

Phenotypic Characterization and Antibiotics Combination Approach to Control the Methicillin-resistant Staphylococcus aureus (MRSA) Strains Isolated from the Hospital Derived Fomites

2011

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Objective: The emergence of antibiotic resistant Stphylococcus aureus strains have resulted in significant treatment difficulties which have imposed a burden on health care systems and simultaneously intensifying the need for new antimicrobial agents. Therefore, we have designed the study to determine the prevalence of Methicillin-resistant Staphylococcus aureus (MRSA) and their antimicrobial susceptibility pattern along with evaluation of antibiotic combination approach. Material & Methods:Isolation and identification of MRSA was carried out using Mannitol salt agar followed by Baird-Parker Agar and Vojel-Johnson Agar media. Strains were tested for the sensitivity against five β-lactum, two macrolide and one fluoroquinolone class of antibiotic. Further sensitivity was confirmed using 9 diverse-second and third generation antibiotics. MIC value of individual and mixture of antibiotics were measured using Mueller-Hinton broth.Results: Total 10 stains of S. aureus were isolated and characterised using standard biochemical tests. They were identified using on-line identification tool-GIDEON (Global Infectious Disease and Epidemiology Network). Almost 50% strains were reported having variable reaction against at least one or more antibiotic. By the use of augmentin (30µg), cephotaxime (30µg), ceftriaxone (30µg), cefuroxime (30µg), ciprofloxacin (5µg), clindamycin (2µg), gentamycin (10µg), lincomycin (2µg) and tobramycin (10µg) further susceptibility tesing was carried out which reveals absolute resistant in 70% of strains, whereas, remeaning strains were seen having variable responses against five antibiotics. However, with comparison to standard antibiotic zone of inhibition, all strains were categorized as a resistant. An individual application of ampicillin, tetracycline and amikacin required higher concentration to inhibited all the stains while combination of two or three antibiotics were identified having low MIC value. Combination of tetracycline with sulbactam and cefoperazone was found best to contol MRSA. Conclusion:Study highlights the wide spread presence of MRSA strains in fomites derived from hospital. These indicate the need of more precaution in clinic area to control the spread of the MRSA. Amalgamation of antibiotics is an effective remedy for MRSA infections and promising approach in developing country.

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“…In this context, the clothing used in the quotidian of the healthcare professionals begins to be considered a potential reservoir for the transmission of microorganisms involved in the occurrence of HAI, even if in small proportions. [9][10][11][12] The spread of pathogens may occur in the hospital environment and also outside of this, i.e. in places in which the provision of direct care does not occur.…”

Section: Introductionmentioning

confidence: 99%

Vestuário de profissionais de saúde como potenciais reservatórios de microrganismos: uma revisão integrativa

Oliveira

Silva²,

Garbaccio

2012

Texto contexto - enferm.

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It has been aimed to determine, through an integrative review of the literature, reports about the occurrence of contamination by micro-organisms and isolation in their white coats, gowns, uniforms of the healthcare professionals, and the similarity to those related to Healthcare Associated Infections considering the profile of antimicrobial resistance. Articles were searched in the following databases MEDLINE, LILACS, and SCOPUS, published from 2000 to 2010. Nine articles were selected and analyzed. These studies considered and evidenced white coat, gown and uniform contamination. The analyzed studies there was the presence of mainly bacteria on pockets, cuff and waist area. As to the profile of sensitiveness the recuperation of Staphylococcus aureus meticiline resistant/MRSA, followed by Gram negative antimicrobial resistance. These were a similarity between the strains in the clothing of health workers and those related to the occurrence of infections. Thus, white coats, gowns, uniforms must be considered part of the dissemination chain of micro-organisms. DESCRIPTORS:Cross infection. Clothing. Health personnel. VESTUÁRIO DE PROFISSIONAIS DE SAÚDE COMO POTENCIAIS VESTUARIO DE LOS PROFISSIONALES SALUD COMO POSIBLES RESERVORIOS DE MICROORGANISMOS: UNA REVISIÓN INTEGRADORARESUMEN: Se objetivó identificar, por revisión integrativa de la literatura, artículos sobre la ocurrencia de contaminación por microorganismos en gabachas, delantales y uniformes de profesionales de salud, y su relación con las Infecciones presentadas al realizar el Cuidado de Salud, teniendo en cuenta el perfil de resistencia a los antimicrobiano. Se realizó la búsqueda por artículos en los bancos de dados MEDLINE, LILACS y SCOPUS, publicados desde 2000 hasta 2010. Fueron seleccionados y analizados nueve artículos. Se destaco en los estudios la presencia de bacterias, principalmente en los bolsillos, los puños y en la región abdominal. Sobre el perfil de sensibilidad se destacó la recuperación de Staphylococcus aureus meticilino resistente/MRSA, seguidos por Gram negativos resistentes a los antimicrobianos. Se identificaron similitudes entre las cepas en el vestuario de los trabajadores de la salud y la aparición de infecciones. Por tanto las gabachas, delantales y uniformes de los profesionales en salud, deben ser considerados en la cadena de diseminación de microorganismos.DESCRIPTORES: Infección hospitalaria. Vestuario. Personal de salud.

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Assessment of materials commonly utilized in health care: Implications for bacterial survival and transmission

Cited by 72 publications

References 20 publications

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

Phenotypic Characterization and Antibiotics Combination Approach to Control the Methicillin-resistant Staphylococcus aureus (MRSA) Strains Isolated from the Hospital Derived Fomites

Vestuário de profissionais de saúde como potenciais reservatórios de microrganismos: uma revisão integrativa

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