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Multidrug-resistant Organisms in Hospitals: What Is on Patient Hands and in Their Rooms?
- Source :
-
Clinical Infectious Diseases . Dec2019, Vol. 69 Issue 11, p1837-1844. 8p. - Publication Year :
- 2019
-
Abstract
- Background The impact of healthcare personnel hand contamination in multidrug-resistant organism (MDRO) transmission is important and well studied; however, the role of patient hand contamination needs to be characterized further. Methods Patients from 2 hospitals in southeast Michigan were recruited within 24 hours of arrival to their room and followed prospectively using microbial surveillance of nares, dominant hand, and 6 high-touch environmental surfaces. Sampling was performed on admission, days 3 and 7, and weekly until discharge. Paired samples of methicillin-resistant Staphylococcus aureus (MRSA) isolated from the patients' hand and room surfaces were evaluated for relatedness using pulsed-field gel electrophoresis and staphylococcal cassette chromosome mec , and Panton-Valentine leukocidin typing. Results A total of 399 patients (mean age, 60.8 years; 49% male) were enrolled and followed for 710 visits. Fourteen percent (n = 56/399) of patients were colonized with an MDRO at baseline; 10% (40/399) had an MDRO on their hands. Twenty-nine percent of rooms harbored an MDRO. Six percent (14/225 patients with at least 2 visits) newly acquired an MDRO on their hands during their stay. New MDRO acquisition in patients occurred at a rate of 24.6/1000 patient-days, and in rooms at a rate of 58.6/1000 patient-days. Typing demonstrated a high correlation between MRSA on patient hands and room surfaces. Conclusions Our data suggest that patient hand contamination with MDROs is common and correlates with contamination on high-touch room surfaces. Patient hand hygiene protocols should be considered to reduce transmission of pathogens and healthcare-associated infections. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BACTERIOPHAGE typing
*CROSS infection
*ELECTROPHORESIS
*HAND
*HEALTH facilities
*HOSPITAL patients
*HOSPITAL admission & discharge
*HOSPITAL emergency services
*HOST-bacteria relationships
*HYGIENE
*LONGITUDINAL method
*MEDICAL appointments
*MEDICAL protocols
*MULTIDRUG resistance
*PATIENTS
*PUBLIC health surveillance
*RISK assessment
*ROOMS
*DISCHARGE planning
*METHICILLIN-resistant staphylococcus aureus
Subjects
Details
- Language :
- English
- ISSN :
- 10584838
- Volume :
- 69
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Clinical Infectious Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 139643704
- Full Text :
- https://doi.org/10.1093/cid/ciz092