LACK OF CARE GIVER HAND CONTAMINATION WITH ENDEMIC BACTERIAL PATHOGENS IN A NURSING-HOME

被引：24

作者：

LARSON, E

BOBO, L

BENNETT, R

MURPHY, S

SENG, ST

CHOO, JTE

SISLER, J

机构：

[1] Johns Hopkins School of Nursing, Baltimore

[2] Johns Hopkins School of Medicine, Baltimore

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 1992年 / 20卷 / 01期

关键词：

D O I：

10.1016/S0196-6553(05)80118-X

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Prevalences of Clostridium difficile and multiply resistant Staphylococcus aureus (MRSA) were determined in nursing staff and residents of a 233-bed long-term care facility. Twenty of 38 (52.6%) patients in the long-term care ward and three of 69 (4.3%) in the skilled-nursing ward were colonized with MRSA; 16 of 48 (33%) patients in the long-term care ward and seven of 52 (13%) in the nursing home ward were colonized with C. difficile. None of the 79 staff members whose hands were cultured had chronic C. difficile hand carriage and MRSA was present on only three of 79 (3.9%). Over a 6-month period, 128,000 pairs of gloves were worn. Since C. difficile and MRSA are rarely present on washed hands of care providers, appropriate handwashing and gloving should make a significant contribution to reducing the spread of these agents in long-term care facilities.

引用

页码：11 / 15

页数：5

共 35 条

[1]

Haley, Culver, White, Morgan, Emori, The nationwide nosocomial infection rate, Am J Epidemiol, 121, pp. 159-167, (1985)

[2]

Smith, Infection control in long-term facilities, pp. 59-85, (1984)

[3]

Larson, Edwards, Infection, J Gerontol Nurs, 12, pp. 17-22, (1986)

[4]

Maki, Alvarado, Hassemer, Comparison of organisms carried on the hands of hospital personnel and nonmedical control personnel—methicillin-resistant coagulase-negative Staphylococcus in-hospital organism [Abstract 521], Program and abstracts of the 24th Interscience Conference on Antimicrobial Agents and Chemotherapy, (1984)

[5]

Gerding, Olson, Peterson, Et al., Clostridium difficile-associated diarrhea and colitis in adults, Arch Intern Med, 146, pp. 95-98, (1986)

[6]

Gorbach, Clostridium difficile settles in a nursing home, Hosp Pract, 24, pp. 145-149, (1989)

[7]

Campbell, Beere, Wilcock, Brown, Clostridium difficile in acute and long-stay elderly patients, Age Ageing, 17, pp. 333-336, (1988)

[8]

Silva, Iezzi, Clostridium difficile as a nosocomial pathogen, J Hosp Infect, 11, pp. 378-385, (1988)

[9]

Kim, Fekety, Botts, Et al., Isolation of Clostridium difficile from the environment and contacts of patients with antibiotic-associated colitis, J Infect Dis, 143, pp. 42-50, (1981)

[10]

Cardoso, Teixeira, Uthida-Tanaka, Filho, Hand carriage of methicillin-resistant Staphylococcus aureus strains by health care personnel [Abstract L-12], Proceedings of the annual meeting, American Society for Microbiology, (1986)

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