Microbial flora of hands of homemakers

被引:39
作者
Larson, EL
Gomez-Duarte, C
Lee, LV
Della-Latta, P
Kain, DJ
Keswick, BH
机构
[1] Columbia Univ, Sch Nursing, New York, NY USA
[2] Presbyterian Hosp, New York, NY USA
[3] Procter & Gamble Co, Cincinnati, OH USA
关键词
D O I
10.1067/mic.2003.33
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives and methods: Because of increasing concern about antimicrobial resistance in the community, aerobic flora of hands of 224 healthy homemakers in northern Manhattan, New York, were examined. Results: Mean log colony-forming unit counts before and after handwashing were 5.72 and 5.69, respectively, P = .60; mean number of species identified/sample was 3.6 before washing and 3.3 after (P = .02). After handwashing gram-negative bacteria were isolated from 75.1 % of subjects; yeast from 32.9 %; and Staphylococcus aureus from 18.5 %, 1 of which (2.4 %) was oxacillin-resistant. Generally, these community isolates were more sensitive than isolates from inpatients in the local hospital, although community isolates of Pseudomonas aeruginosa were significantly more resistant than inpatient isolates for 4/10 agents tested. Conclusions: Hands of healthy persons in the community were usually colonized with gram-negative bacteria, a single handwash had little impact on microbial counts, and hands of healthy adults may increasingly become one reservoir for antimicrobial resistance.
引用
收藏
页码:72 / 79
页数:8
相关论文
共 77 条
[31]   Yeast carriage on hands of hospital personnel working in intensive care units [J].
Huang, YC ;
Lin, TY ;
Leu, HS ;
Wu, JL ;
Wu, JH .
JOURNAL OF HOSPITAL INFECTION, 1998, 39 (01) :47-51
[32]   Bacterial resistance and topical antimicrobial wash products [J].
Jones, RD .
AMERICAN JOURNAL OF INFECTION CONTROL, 1999, 27 (04) :351-363
[33]   Increase in community-acquired methicillin-resistant Staphylococcus aureus at a Naval Medical Center [J].
Kallen, AJ ;
Driscoll, TJ ;
Thornton, S ;
Olson, PE ;
Wallace, MR .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2000, 21 (03) :223-226
[34]  
KLIGMAN AM, 1965, SKIN BACTERIA THEIR, P13
[35]   ROLE OF HAND CONTAMINATION OF PERSONNEL IN EPIDEMIOLOGY OF GRAM-NEGATIVE NOSOCOMIAL INFECTIONS [J].
KNITTLE, MA ;
EITZMAN, DV ;
BAER, H .
JOURNAL OF PEDIATRICS, 1975, 86 (03) :433-437
[36]   Antibiotic resistance patterns among blood culture isolates in a Danish county 1981-1995 [J].
Kristensen, B ;
Smedegaard, HH ;
Pedersen, HM ;
Andersen, MF ;
Dahlerup, JF ;
Sorensen, HT ;
Korsager, B ;
Schonheyder, HC .
JOURNAL OF MEDICAL MICROBIOLOGY, 1999, 48 (01) :67-71
[37]   Community-acquired methicillin-resistant Staphylococcus aureus and familial transmission [J].
L'Hériteau, F ;
Lucet, JC ;
Scanvic, A ;
Bouvet, E .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (11) :1038-1039
[38]   PHYSIOLOGICAL, MICROBIOLOGIC, AND SEASONAL EFFECTS OF HANDWASHING ON THE SKIN OF HEALTH-CARE PERSONNEL [J].
LARSON, E ;
MCGINLEY, KJ ;
GROVE, GL ;
LEYDEN, JJ ;
TALBOT, GH .
AMERICAN JOURNAL OF INFECTION CONTROL, 1986, 14 (02) :51-59
[39]   PHYSIOLOGICAL AND MICROBIOLOGIC CHANGES IN SKIN RELATED TO FREQUENT HANDWASHING [J].
LARSON, E ;
LEYDEN, JJ ;
MCGINLEY, KJ ;
GROVE, GL ;
TALBOT, GH .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1986, 7 (02) :59-63
[40]   LACK OF CARE GIVER HAND CONTAMINATION WITH ENDEMIC BACTERIAL PATHOGENS IN A NURSING-HOME [J].
LARSON, E ;
BOBO, L ;
BENNETT, R ;
MURPHY, S ;
SENG, ST ;
CHOO, JTE ;
SISLER, J .
AMERICAN JOURNAL OF INFECTION CONTROL, 1992, 20 (01) :11-15