Bacterial flora on the white coats of medical students

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

“…11,[16][17][18][19][21][22] Direct contact of the areas analyzed with the agar plates was used in two articles for obtaining the microbiological samples. 12,19 The bacterial species were identified by biochemical tests; and the antimicrobial susceptibility through the disc diffusion technique or by the identification of the Minimum Inhibitory Concentration (MIC). [11][12][16][17][18][19][20][21][22] The pulsed field gel electrophoresis (PFGE) technique was used to verify the clonal relationship between the isolates, this being considered of broad application, as it enables the performance of genotyping and the comparison of similarity between microbial species.…”

“…12,19 The bacterial species were identified by biochemical tests; and the antimicrobial susceptibility through the disc diffusion technique or by the identification of the Minimum Inhibitory Concentration (MIC). [11][12][16][17][18][19][20][21][22] The pulsed field gel electrophoresis (PFGE) technique was used to verify the clonal relationship between the isolates, this being considered of broad application, as it enables the performance of genotyping and the comparison of similarity between microbial species. [22][23] Of the microbial samples isolated from the white coats, gowns and uniforms of the healthcare professionals, the following were identified: Diphtheroids, Vancomycin Resistant Enterococcus (VRE), gram-negative bacteria (Acinetobacter baumannii, Klebsiela pneumoniae and Serratia rubidae) and methicillin-resistant Staphylococcus aureus (MRSA), which was most frequently isolated, including in outbreak situations.…”

“…In the ICU a greater diversity of microorganisms resistant to penicillins, aminoglycosides and 1 st , 2 nd and 3 rd generation cephalosporins were recovered. [11][12][16][17][18][19][20][21][22] A higher level of contamination of clothing by VRE was observed during the care of patients with tracheostomy, gastrostomy, jejunostomy and ileostomy. 11,20 In two studies the results of molecular tests confirmed the similarity between the strains of the patient and those recovered from the clothing of the multiprofessional team.…”

“…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.…”

“…The use by healthcare professionals, principally, of white coats outside the hospital environment has become common in areas close to the health institutions, on buses, in cafeterias and in other places. 12 Given the importance of the subject, this study aimed to identify articles in the literature on the occurrence of contamination by microorganisms of white coats, gowns and uniforms of healthcare professionals, and to highlight the similarity of these microorganisms with those related to Healthcare Associated Infections.…”