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Contamination of Hands with Methicillin-Resistant Staphylococcus aureus after Contact with Environmental Surfaces and after Contact with the Skin of Colonized Patients

Published online by Cambridge University Press:  02 January 2015

Usha Stiefel
Affiliation:
Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio Infectious Diseases Section, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Jennifer L. Cadnum
Affiliation:
Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Brittany C. Eckstein
Affiliation:
Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Dubert M. Guerrero
Affiliation:
Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Mary Ann Tima
Affiliation:
Research Service, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
Curtis J. Donskey*
Affiliation:
Infectious Diseases Section, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, Cleveland, Ohio
*
Geriatric Research Education and Clinical Center, Cleveland Veterans Affairs Medical Center, 10701 East Boulevard, Cleveland, OH 44106 (curtisdl23@yahoo.com)

Abstract

In a study of 40 methicillin-resistant Staphylococcus aureus (MRSA) carriers, hand contamination was equally likely after contact with commonly examined skin sites and commonly touched environmental surfaces in patient rooms (40% vs 45%). These findings suggest that contaminated surfaces may be an important source of MRSA transmission.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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References

1. Chang, S, Sethi, AK, Eckstein, BC, Stiefel, U, Cadnum, JL, Donskey, CJ. Skin and environmental contamination with methicillin-re-sistant Staphylococcus aureus in patients identified clinically versus through active surveillance. Clin Infect Dis 2009;48:14231428.Google Scholar
2. Bhalla, A, Pultz, NJ, Gries, DM, et al. Acquisition of nosocomial pathogens on hands after contact with environmental surfaces near hospitalized patients. Infect Control Hosp Epidemiol 2004;25:164167.CrossRefGoogle ScholarPubMed
3. Boyce, JM, Potter-Bynoe, G, Chenevert, C, King, T. Environmental contamination due to methicillin-resistant Staphylococcus aureus (MRSA): possible infection control implications. Infect Control Hosp Epidemiol 1997;18:622627.CrossRefGoogle ScholarPubMed
4. Oie, S, Suenaga, S, Sawa, A, Kamiya, A. Association between isolation sites of methicillin-resistant Staphylococcus aureus (MRSA) in patients with MRSA-positive body sites and MRSA contamination in their surrounding environmental surfaces. Jpn J Infect Dis 2007;60:367369.Google ScholarPubMed
5. Mody, L, Kauffman, CA, Donabedian, S, Zervos, M, Bradley SE Epidemiology of Staphylococcus aureus colonization in nursing home residents. Clin Infect Dis 2008;46:13681373.Google Scholar
6. Boyce, JM, Havill, NL, Otter, JA, Adams, NM. Widespread environmental contamination associated with patients with diarrhea and methicillin-resistant Staphylococcus aureus colonization of the gastrointestinal tract. Infect Control Hosp Epidemiol 2007;28:11421147.Google Scholar
7. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antimicrobial Susceptibility Testing:16th Informational Supplement. Wayne, PA: CLSI, 2006. CLSI document M100-S16.Google Scholar
8. Boyce, JM, Pittet, D. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol 2002;23(suppl):S3S40.Google Scholar
9. Boyce, JM. Environmental contamination makes an important contribution to hospital infection. J Hosp Infect 2007;65(suppl 2):5054.CrossRefGoogle ScholarPubMed