PMID: 109498Jun 1, 1979

Attempts to control clothes-borne infection in a burn unit, 2. Clothing routines in clinical use and the epidemiology of cross-colonization

The Journal of Hygiene
U Ransjö

Abstract

Previous investigations have shown that cross-contamination in a burn unit is mainly clothes-borne. New barrier garments have been designed and tried experimentally. The aim of the present study was to investigate the effects of different clothing routines on cross-contamination. In a long-term study, the rates and routes of colonizations with Staphylococcus aureus, Streptococcus groups A, B, C, F, and G and Pseudomonas aeruginosa were examined. The exogenous colonization rates were, with S. aureus 77%, with Streptococcus species 52% and with Ps. aeruginosa 32%. The colonization rate with Ps. aeruginosa was higher in patients with larger burns. Patients dispersed Streptococcus and Ps. aeruginosa as well as S. aureus into the air of their rooms in considerable amounts, but dispersers were not more important as sources of cross-colonization than non-dispersers. In comparison of clothing routines, there was no difference in overall colonization rates. The newly designed barrier garment that was made from apparently particle-tight material did not reduce the transfer of bacteria from patient to patient. A less rigid routine than that previously used did not increase the risk of cross-contamination. A thorough change of barrier dres...Continue Reading

References

Jun 1, 1976·The Journal of Hygiene·W WhyteR Hodgson
Dec 1, 1975·International Journal of Dermatology·G Singh
Jan 1, 1975·Zentralblatt Für Bakteriologie, Parasitenkunde, Infektionskrankheiten Und Hygiene. Zweite Naturwissenschaftliche Abt.: Allgemeine, Landwirtschaftliche Und Technische Mikrobiologie·R K Kakkar, B R Mehrotra
Jun 22, 1974·Lancet·D G PoplackA S Levine
Jul 1, 1973·The Journal of Trauma·B G MacMillarM P Maley
Jun 1, 1974·The Journal of Infectious Diseases·R AlyW G Strauss
Dec 1, 1973·The Journal of Hygiene·A Hambraeus
May 1, 1973·American Journal of Surgery·D J AlfordJ B Hart
Nov 1, 1972·Journal of Medical Microbiology·S O LiljedahlL Sjöberg
Nov 26, 1966·British Medical Journal·J S CasonC R Ricketts
Mar 1, 1968·The British Journal of Surgery·T L Barclay, F Dexter
Jan 1, 1968·Acta Pathologica Et Microbiologica Scandinavica·L Sjöberg, A A Lindberg
Dec 1, 1971·The Journal of Hygiene·E J LowburyP M Ford
Apr 1, 1972·Journal of General Microbiology·S YamaguchiT Kuroiwa
Jan 1, 1970·Scandinavian Journal of Plastic and Reconstructive Surgery·M Thomsen
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Dec 1, 1963·The Journal of Hygiene·W C NOBLED KINGSTON
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Citations

Dec 25, 2003·Burns : Journal of the International Society for Burn Injuries·Mirjam Kooistra-SmidHenri Verbrugh
Jun 1, 1983·The Journal of Hospital Infection·J R BabbG A Ayliffe
Mar 1, 1982·The Journal of Hospital Infection·C A Mackintosh
Mar 1, 1982·The Journal of Hospital Infection·U Ransjö, A Hambraeus
Feb 22, 1990·The New England Journal of Medicine·R A Garibaldi
Dec 21, 1991·BMJ : British Medical Journal·D WongP Hollis
Oct 1, 1991·Journal of Advanced Nursing·D Gould
Jun 29, 1989·The New England Journal of Medicine·B S KleinD G Maki
Sep 1, 1983·Infection Control : IC·B Nyström
Jan 1, 1991·Scandinavian Journal of Infectious Diseases·A HambraeusL Sjöberg

Related Concepts

Air Microbiology
Burn Injury
Clothing
Infections, Hospital
Microbiological Techniques
Patient Isolation
Pseudomonas aeruginosa
Staphylococcus aureus
Bacteria, Flesh-Eating
Wound Infection

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