Journal article
Factors associated with patient-to-healthcare personnel (HCP) and HCP-to-subsequent patient transmission of methicillin-resistant Staphylococcus aureus
Infection control and hospital epidemiology, Vol.45(5), pp.1-589
05/01/2024
DOI: 10.1017/ice.2023.269
PMID: 38234192
Abstract
Transient acquisition of methicillin-resistant
(MRSA) on healthcare personnel (HCP) gloves and gowns following patient care has been examined. However, the potential for transmission to the subsequent patient has not been studied. We explored the frequency of MRSA transmission from patient to HCP, and then in separate encounters from contaminated HCP gloves and gowns to a subsequent simulated patient as well as the factors associated with these 2 transmission pathways.
We conducted a prospective cohort study with 2 parts. In objective 1, we studied MRSA transmission from random MRSA-positive patients to HCP gloves and gowns after specific routine patient care activities. In objective 2, we simulated subsequent transmission from random HCP gloves and gowns without hand hygiene to the next patient using a manikin proxy.
For the first objective, among 98 MRSA-positive patients with 333 randomly selected individual patient-HCP interactions, HCP gloves or gowns were contaminated in 54 interactions (16.2%). In a multivariable analysis, performing endotracheal tube care had the greatest odds of glove or gown contamination (OR, 4.06; 95% CI, 1.3-12.6 relative to physical examination). For the second objective, after 147 simulated HCP-patient interactions, the subsequent transmission of MRSA to the manikin proxy occurred 15 times (10.2%).
After caring for a patient with MRSA, contamination of HCP gloves and gown and transmission to subsequent patients following HCP-patient interactions occurs frequently if contact precautions are not used. Proper infection control practices, including the use of gloves and gown, can prevent this potential subsequent transmission.
Details
- Title: Subtitle
- Factors associated with patient-to-healthcare personnel (HCP) and HCP-to-subsequent patient transmission of methicillin-resistant Staphylococcus aureus
- Creators
- Timileyin Y Adediran - University of Maryland, BaltimoreGwen L Robinson - University of Maryland, BaltimoreJ Kristie Johnson - University of Maryland, BaltimoreYuanyuan Liang - University of Maryland, BaltimoreSarah Bejo - University of Maryland, BaltimoreSurbhi Leekha - University of Maryland, BaltimoreDavid A Rasko - University of Maryland, BaltimoreO Colin Stine - University of Maryland, BaltimoreAnthony D Harris - University of Maryland, BaltimoreKerri A Thom - University of Maryland, Baltimore
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.45(5), pp.1-589
- DOI
- 10.1017/ice.2023.269
- PMID
- 38234192
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Language
- English
- Date published
- 05/01/2024
- Academic Unit
- Epidemiology
- Record Identifier
- 9985123695402771
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