Inguinal skin colonization with multidrug-resistant bacteria among residents of elderly care facilities: Frequency, persistence, molecular analysis and clinical impact

2014 ◽  
Vol 304 (8) ◽  
pp. 1123-1134 ◽  
Author(s):  
Claudia Ruscher ◽  
Yvonne Pfeifer ◽  
Franziska Layer ◽  
Reiner Schaumann ◽  
Katja Levin ◽  
...  
2019 ◽  
Vol 70 (1) ◽  
pp. e647
Author(s):  
Maria Hernandez-Tejero ◽  
Francesc Marco Reverte ◽  
Fatima Aziz ◽  
Cristina Pitart ◽  
Irene Campo ◽  
...  

Antibiotics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 49
Author(s):  
Pavlina Lena ◽  
Spyridon A. Karageorgos ◽  
Panayiota Loutsiou ◽  
Annita Poupazi ◽  
Demetris Lamnisos ◽  
...  

Healthcare workers’ (HCW) clothing has been shown to harbor multidrug-resistant bacteria (MDRB) and may contribute to transmission. The aim of this study was to evaluate presence of MDRB on HCW uniforms in Cyprus. A cross-sectional study was carried out in 9 hospital wards and 7 long-term care facilities (LTCFs) in Nicosia, Cyprus, from April–August 2019. Sampling of HCW uniform pockets was conducted at the end of the first shift. Personal hygiene and other habits were recorded during personal interviews. Among 140 sampled HCW (69 from hospitals, 71 from LTCFs), 37 MDRB were identified, including 16 vancomycin-resistant enterococci (VRE), 15 methicillin-resistant Staphylococcus aureus (MRSA), 5 extended spectrum b-lactamase (ESBL)-producing bacteria, and 1 carbapenem-resistant Acinetobacter baumannii. Presence of MDRB was higher in LTCFs compared to hospitals (p = 0.03). Higher MDRB rates in uniforms were noted in HCWs that worked <1 year (41.7% vs. 21.1%) and in HCWs that opted for home laundering (23.5% vs. 12.5%) or visited the toilet during shifts (38.1% vs. 20.2%). Our findings indicate that HCW uniforms harbor MDRB and relevant interventions may reduce transmission risk. We identified LTCFs as an important area for targeted measures. Additional factors associated with HCW practices, characteristics, and attire laundering practices represent areas for improvement, particularly in LTCFs.


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