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Patient Hand Colonization With MDROs Is Associated with Environmental Contamination in Post-Acute Care

Published online by Cambridge University Press:  11 July 2017

Payal K. Patel*
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan Ann Arbor Veterans Affairs Healthcare System, Ann Arbor, Michigan.
Julia Mantey
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan
Lona Mody*
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan Ann Arbor Veterans Affairs Healthcare System, Ann Arbor, Michigan.
*
Address correspondence to Payal K. Patel, MD, MPH, Infectious Disease Clinic, University of Michigan, Taubman Center Floor 3 Reception D, 1500 E. Medical Center Dr. SPC 5352, Ann Arbor, MI 48109 ([email protected]) or Lona Mody, MD, MSc, Division of Geriatric and Palliative Care Medicine, University of Michigan Medical School, 300 N. Ingalls Rd, Rm 905, Ann Arbor, MI 48109 ([email protected]).
Address correspondence to Payal K. Patel, MD, MPH, Infectious Disease Clinic, University of Michigan, Taubman Center Floor 3 Reception D, 1500 E. Medical Center Dr. SPC 5352, Ann Arbor, MI 48109 ([email protected]) or Lona Mody, MD, MSc, Division of Geriatric and Palliative Care Medicine, University of Michigan Medical School, 300 N. Ingalls Rd, Rm 905, Ann Arbor, MI 48109 ([email protected]).

Abstract

We assessed multidrug-resistant organism (MDRO) patient hand colonization in relation to the environment in post-acute care to determine risk factors for MDRO hand colonization. Patient hand colonization was significantly associated with environmental contamination. Risk factors for hand colonization included disability, urinary catheter, recent antibiotic use, and prolonged hospital stay.

Infect Control Hosp Epidemiol 2017;38:1110–1113

Type
Concise Communications
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Haun, N, Hooper-Lane, C, Safdar, N. Healthcare personnel attire and devices as fomites: a systematic review. Infect Control Hosp Epidemiol 2016;37:13671373.Google Scholar
2. Cao, J, Min, L, Lansing, B, Foxman, B, Mody, L. Multidrug-resistant organisms on patients’ hands: a missed opportunity. JAMA Intern Med 2016;176:705706.Google Scholar
3. Mody, L, Krein, SL, Saint, S, et al. A targeted infection prevention intervention in nursing home residents with indwelling devices: a randomized clinical trial. JAMA Intern Med 2015;175(5):714723.Google Scholar
4. Lawton, MP, Brody, EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179186.CrossRefGoogle ScholarPubMed
5. Charlson, ME, Pompei, P, Ales, KL, MacKenzie, CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40:373383.Google Scholar
6. Min, L, Galecki, A, Mody, L. Functional disability and nursing resource use are predictive of antimicrobial resistance in nursing homes. J Am Geriatr Soc 2015;63:659666.CrossRefGoogle ScholarPubMed
7. Otter, JA, Yezli, S, Salkeld, JA, French, GL. Evidence that contaminated surfaces contribute to the transmission of hospital pathogens and an overview of strategies to address contaminated surfaces in hospital settings. Am J Infect Control 2013;41:S6S11.Google Scholar
8. Srigley, JA, Furness, CD, Gardam, M. Interventions to improve patient hand hygiene: a systematic review. J Hosp Infect 2016;94:2329.Google Scholar
9. McKinnell, JA, Miller, LG, Singh, R, et al. Prevalence of and factors associated with multidrug resistant organism (MDRO) colonization in 3 nursing homes. Infect Control Hosp Epidemiol 2016:14.Google Scholar
10. Mody, L, Saint, S, Kaufman, SR, Kowalski, C, Krein, SL. Adoption of alcohol-based handrub by United States hospitals: a national survey. Infect Control Hosp Epidemiol 2008;29:11771180.Google Scholar
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