Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-05T05:30:41.593Z Has data issue: false hasContentIssue false
  • English
  • Français

Frequency of Klebsiella pneumoniae Carbapenemase (KPC)–Producing and Non-KPC-Producing Klebsiella Species Contamination of Healthcare Workers and the Environment

Published online by Cambridge University Press:  10 May 2016

Clare Rock ,
Kerri A. Thom ,
Max Masnick ,
J. Kristie Johnson ,
Anthony D. Harris  and
Daniel J. Morgan
Clare Rock*
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Kerri A. Thom
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Max Masnick
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
J. Kristie Johnson
Affiliation:
Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland
Anthony D. Harris
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Daniel J. Morgan
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland Veterans Affairs Maryland Healthcare System, Baltimore, Maryland
*
Department of Epidemiology and Public Health, University of Maryland School of Medicine, 685 West Baltimore Street, MSTF 3–34, Baltimore, MD 21201 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

We examined contamination of healthcare worker (HCW) gown and gloves after caring for patients with Klebsiella pneumoniae carbapenemase (KPC)–producing and non-KPC-producing Klebsiella as a proxy for horizontal transmission. The rate of contamination with Klebsiella species is similar to that of contamination with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococcus, with 31 (14%) of 220 of HCW-patient interactions resulting in contamination of gloves and gowns.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue 4: Special Topic Issue: Carbapenem-Resistant Enterobacteriaceae and Multidrug-Resistant Organisms , April 2014 , pp. 426 - 429
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. National Center for Emerging and Zoonotic Infectious Diseases, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention. Guidance for control of carbopenem-resistant Enterobacteriaceae (CRE) 2012 toolkit. http://www.cdc.gov/hai/pdfs/cre/CRE-guidance-508.pdf Updated 2012. Accessed August 9, 2013.Google Scholar
2. Morgan, DJ, Rogawski, E, Thom, KA, et al. Transfer of multidrug-resistant bacteria to healthcare workers' gloves and gowns after patient contact increases with environmental contamination. Crit Care Med 2012;40(4):1045–1051.CrossRefGoogle ScholarPubMed
3. Clinical and Laboratory Standards Institute. Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria That Grow Aerobically; Approved Standard, 8th Edition. CLSI publication M07-A8. Wayne, PA: Clinical and Laboratory Standards Institute, 2009.Google Scholar
4. Thurlow, CJ, Prabaker, K, Lin, MY, et al. Anatomic sites of patient colonization and environmental contamination with Klebsiella pneumoniae carbapenemase–producing Enterobacteriaceae at long-term acute care hospitals. Infect Control Hosp Epidemiol 2013;34(1):56–61.CrossRefGoogle ScholarPubMed
5. Morgan, DJ, Liang, SY, Smith, CL, et al. Frequent multidrug-resistant Acinetobacter baumannii contamination of gloves, gowns, and hands of healthcare workers. Infect Control Hosp Epidemiol 2010;31(7):716–721.CrossRefGoogle ScholarPubMed
6. Snyder, GM, Thom, KA, Furuno, JP, et al. Detection of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on the gowns and gloves of healthcare workers. Infect Control Hosp Epidemiol 2008;29(7):583–589.CrossRefGoogle ScholarPubMed