May 22, 2010

Frequent multidrug-resistant Acinetobacter baumannii contamination of gloves, gowns, and hands of healthcare workers

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Daniel J MorganEli N Perencevich

Abstract

Multidrug-resistant (MDR) gram-negative bacilli are important nosocomial pathogens. To determine the incidence of transmission of MDR Acinetobacter baumannii and Pseudomonas aeruginosa from patients to healthcare workers (HCWs) during routine patient care. Prospective cohort study. Medical and surgical intensive care units. Methods. We observed HCWs who entered the rooms of patients colonized with MDR A. baumannii or colonized with both MDR A. baumannii and MDR P. aeruginosa. We examined their hands before room entry, their disposable gloves and/or gowns upon completion of patient care, and their hands after removal of gloves and/or gowns and before hand hygiene. Sixty-five interactions occurred with patients colonized with MDR A. baumannii and 134 with patients colonized with both MDR A. baumannii and MDR P. aeruginosa. Of 199 interactions between HCWs and patients colonized with MDR A. baumannii, 77 (38.7% [95% confidence interval {CI}, 31.9%-45.5%]) resulted in HCW contamination of gloves and/or gowns, and 9 (4.5% [95% CI, 1.6%-7.4%]) resulted in contamination of HCW hands after glove removal before hand hygiene. Of 134 interactions with patients colonized with MDR P. aeruginosa, 11 (8.2% [95% CI, 3.6%-12.9%]) resulted in HC...Continue Reading

  • References18
  • Citations68

References

Mentioned in this Paper

Vancomycin
Protective Clothing
Hand
Acinetobacter calcoaceticus
Pseudomonas aeruginosa (antigen)
Methicillin resistant Staphylococcus aureus (organism)
Vancomycin Assay
Protective Gloves
Amorphophallus baumannii
Mrsa - Methicillin Resistant Staphylococcus Aureus Infection

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