Genetic Similarity of Staphylococcus aureus Strains Isolated from Nose and Mobile Phones of Healthcare Providers Working in the Operating Room and Intensive Care Unit
Year 2021,
, 30 - 34, 26.02.2021
Nevcivan Güldaş
,
Ayşe Nur Sarı
Zeynep Gülay
Abstract
Purpose : Staphylococcus aureus colonized in the nose of healthcare workers is an important risk factor for the development of hospital-acquired staphylococcal infections. Cross-contamination of this bacterium between the hands of healthcare workers and the surfaces they contact is known. In this study, we aimed to evaluate the clonal relationship between eight S. aureus strains isolated from the nose of healthcare providers and five S. aureus strains isolated from mobile phones carried by healthcare providers.
Methods: The clonal relationship between the strains and molecular epidemiological status were investigated by the pulsed-field gel electrophoresis (PFGE) method.
Results : The first and third strains are isolated from the mobile phone and the nose of a healthcare provider working in the intensive care unit were the same. The second and fourth strains were isolated from the mobile phone and nose of another healthcare provider working in the intensive care unit were the same. The fifth strain, which was found to be the same as the second and fourth strains, was isolated from the mobile phone of another healthcare provider working in the intensive care unit. No similarity was observed between the other strains.
Conclusion: Our findings indicate that S. aureus strains colonized in the nose of healthcare workers are also transmitted to other surfaces and that the hospital environment and co-used devices pose a risk for spread. For this reason, training of healthcare workers on the infection control procedure, hand hygiene, environmental disinfection and regular cleaning of mobile phones are important components in order to prevent hospital-acquired infections.
References
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Year 2021,
, 30 - 34, 26.02.2021
Nevcivan Güldaş
,
Ayşe Nur Sarı
Zeynep Gülay
References
- 1. World Health Organization. Report on the burden of endemic health care-associated infection worldwide. Geneva: WHO; 2011.
- 2. Hacek DM, Suriano T, Noskin GA, Kruszynski J, Reisberg B, Peterson LR. Medical and economic benefit of a comprehensive infection control program that includes routine determination of microbial clonality. Am J Clin Pathol 1999; 111: 647–654.
- 3. Plowman RM, Graves N, Roberts JA. Hospital acquired infection. Office of Health Economics, London 1997.
- 4. Hensley BJ, Monson JRT. Hospital-acquired infections. Surgery 2015; 33 : 528–533.
- 5. Russotto V, Cortegiani A, Raineri SM, Giarratano A. Bacterial contamination of inanimate surfaces and equipment in the intensive care unit. J Intens Care 2015; 3: 54.
- 6. Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol 2016; 37: 1367-1373.
- 7. Brady RR, Wasson A, Stirling I, McAllister C, Damani NN. Is your phone bugged? The incidence of bacteria known to cause nosocomial infection on healthcare workers’ mobile phones. J Hosp Infect 2006; 62:123–125.
- 8. Khivsara A, Dahashree B. Typing of Staphylococcus aureus from mobile phones and clinical samples. Current Science 2006; 90: 910–912.
- 9. Borer A, Gilad J, Smolyakov R, et al. Cell phones and Acinetobacter transmission. Emerg Infect Dis 2005; 11:1160–1161.
- 10. Chawla K, Mukhopadhayay C, Gurung B, Bhate P, Bairy I. Bacterial ‘cell’ Phones: Do cell phones carry potential pathogens? Online J Health Allied Scs 2009; 8: 1.
- 11. Tong SYC, Davis JS, Eichenberger E, Holland TL, Fowler VG Jr. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clin Microbiol Rev 2015; 28: 603-661.
- 12. Wertheim HF, Melles DC, Vos MC, et al. The role of nasal carriage in Staphylococcus aureus infections. Lancet Infect Dis 2005; 5: 751-762.
- 13. Bannerman TL, Hancock GA, Tenover FC, Miller JM. Pulsed-field gel electrophoresis as a replacement for bacteriophage typing of Staphylococcus aureus. J Clin Microbiol 1995; 33: 551–555.
- 14. Tenover FC, Arbeit RD, Goering RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995 ;33: 2233-2239.
- 15. Kanayama A, Takahashi H, Yoshizawa S, Tateda K, Kaneko A, Kobayashi I. Staphylococcus aureus surface contamination of mobile phones and presence of genetically identical strains on the hands of nursing personnel. Am J Infect Control 2017; 45: 929-931.
- 16. Chang CH, Chen SY, Lu JJ, Chang CJ, Chang Y, Hsieh PH. Nasal colonization and bacterial contamination of mobile phones carried by medical staff in the operating room. PLoS One. 2017; 12: e0175811.
- 17. Brady RR, Hunt AC, Visvanathan A, et al. Mobile phone technology and hospitalized patients: a cross-sectional surveillance study of bacterial colonization, and patient opinions and behaviours. Clin Microbiol Infect 2011; 17: 830-835.
- 18. Shi LS, Xu CJ, Jia HB, Chen W, Zhou XF, Li XH. Spread of Staphylococcus aureus between medical staff and high-frequency contact surfaces in a large metropolitan hospital. Int J Nurs Sci 2015; 2: 366 -370.
- 19. Boncompain CA, Suárez CA, Morbidoni HR. Staphylococcus aureus nasal carriage in health care workers: First report from a major public hospital in Argentina. Rev Argent Microbiol 2017; 49 :125-131.
- 20. Legese H, Kahsay AG, Kahsay A, et al. Nasal carriage, risk factors and antimicrobial susceptibility pattern of methicillin resistant Staphylococcus aureus among healthcare workers in Adigrat and Wukro hospitals, Tigray, Northern Ethiopia. BMC Res Notes 2018; 11: 250.
- 21. Srivalli B, Ekyshwarya S, Setty CR. Nasal carriage of methicillin resistant Staphylococcus aureus (MRSA) among health care workers in a tertiary care hospital. Int J Biol Med Res 2018; 9: 6348-6351.
- 22. Song X, Stockwell DC, Floyd T, Short BL, Singh N. Improving hand hygiene compliance in health care workers: Strategies and impact on patient outcomes. Am J Infect Control 2013; 41 : e101-105.