Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-26T17:38:44.431Z Has data issue: false hasContentIssue false
  • English
  • Français

Patient to healthcare personnel transmission of MRSA in the non–intensive care unit setting

Published online by Cambridge University Press:  10 February 2020

Gita Nadimpalli Open the ORCID record for Gita Nadimpalli [Opens in a new window] ,
Lyndsay M. O’Hara ,
Lisa Pineles ,
Karly Lebherz ,
J. Kristie Johnson ,
David P. Calfee ,
Loren G. Miller ,
Daniel J. Morgan  and
Anthony D. Harris
Gita Nadimpalli
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Lyndsay M. O’Hara
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Lisa Pineles
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Karly Lebherz
Affiliation:
Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland
J. Kristie Johnson
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland School of Medicine, University of Maryland School of Medicine, Baltimore, Maryland
David P. Calfee
Affiliation:
Los Angeles Biomedical Research Center at Harbor-UCLA Medical Center, Torrance, California
Loren G. Miller
Affiliation:
Lundquist Institute for Biomedical Innovation at Harbor–UCLA Medical Center, Torrance, California
Daniel J. Morgan
Affiliation:
Department of Epidemiology and Public Health, 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
*
Author for correspondence: Dr Anthony Harris, Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

The transmission rate of methicillin-resistant Staphylococcus aureus (MRSA) to gloves or gowns of healthcare personnel (HCP) caring for MRSA patients in a non–intensive care unit setting was 5.4%. Contamination rates were higher among HCP performing direct patient care and when patients had detectable MRSA on their body. These findings may inform risk-based contact precautions.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 5 , May 2020 , pp. 601 - 603
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved

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

Okamoto, K, Rhee, Y, Schoeny, M, et al. Impact of doffing errors on healthcare worker self contamination when caring for patients on contact precautions. Infect Control Hosp Epidemiol 2019;40:559–565.CrossRefGoogle ScholarPubMed
O’Hara, LM, Calfee, DP, Miller, LG, et al. Optimizing contact precautions to curb the spread of antibiotic-resistant bacteria in hospitals: a multicenter cohort study to identify patient characteristics and healthcare personnel interactions associated with transmission of methicillin-resistant Staphylococcus aureus . Clin Infect Dis 2019;69:S171–S177.CrossRefGoogle ScholarPubMed
Roghmann, MC, Johnson, JK, Sorkin, JD, et al. Transmission of MRSA to healthcare personnel gowns and gloves during care of nursing home residents. Infect Control Hosp Epidemiol 2015;36:1050–1057.CrossRefGoogle ScholarPubMed
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;29:583–589.CrossRefGoogle ScholarPubMed
Pineles, L, Morgan, DJ, Lydecker, A, et al. Transmission of methicillin-resistant Staphylococcus aureus to healthcare worker gowns and gloves during care of residents in Veterans’ Affairs nursing homes. Am J Infect Control 2017;45:947–953.CrossRefGoogle Scholar
Jackson, SS, Harris, AD, Magder, LS, et al. Bacterial burden is associated with increased transmission to healthcare workers from patients colonized with vancomycin-resistant Enterococcus . Am J Infect Control 2019;47:13–17.CrossRefGoogle ScholarPubMed
Management of multidrug-resistant organisms in healthcare settings, 2006. Centers for Disease Control and Prevention website. https://www.cdc.gov/infectioncontrol/guidelines/mdro/index.html. Published 2006. Accessed January 14, 2020.Google Scholar
Marra, AR, Edmond, MB, Schweizer, ML,et al. Discontinuing contact precautions for multidrug-resistant organisms: a systematic literature review and meta-analysis. Am J Infect Control 2018;46:333–340.CrossRefGoogle ScholarPubMed
McKinnell, JA, Eells, SJ, Clark, E, et al. Discontinuation of contact precautions with the introduction of universal daily chlorhexidine bathing. Epidemiol Infect 2017;145:2575–2581.CrossRefGoogle ScholarPubMed
Banach, DB, Bearman, G, Barnden, M, et al. Duration of contact precautions for acute-care settings. Infect Control Hosp Epidemiol 2018;39:127–144.CrossRefGoogle ScholarPubMed