Are lanyards a risk for nosocomial transmission of potentially pathogenic bacteria?

Alexander, R.; Volpe, N.G.; Catchpole, C.; Allen, Rosalind J.; Cope, Shannon C

doi:10.1016/j.jhin.2008.05.022

Cited by 6 publications

(13 citation statements)

References 5 publications

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“…These results are not congruent with previous studies showing colonization of bacteria in ID badges and lanyards [3][4][5] ; however, there are certain factors that could explain the difference.…”

Section: Discussioncontrasting

confidence: 99%

“…3 Similar findings have been described in the United Kingdom, which has already implemented a bare below the elbows policy in an attempt to reduce opportunistic pathogen transfer. 4,5 There is a paucity of comparative data suggesting that ID badges may be similarly contaminated with viral pathogens. However, given the higher incidence of viral infections in pediatricsdup to 50% of preterm infants screened during their hospital stay had viruses detected in their nasopharynx 6 dfurther evaluation of the viral burden and potential for nosocomial transmission of prevalent viruses are of both clinical and economic significance.…”

mentioning

confidence: 99%

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Are identity badges and lanyards in pediatrics potentially contaminated with viral pathogens?

Ting

Cheng

Kotsanas

et al. 2015

American Journal of Infection Control

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Identity (ID) badges and lanyards worn by pediatric health care workers (HCWs) have been shown to be potential vectors of nosocomial bacterial infections. This cross-sectional study determined the contamination of ID badges and lanyards worn by pediatric HCWs with common respiratory and gastrointestinal viruses. The results showed that ID badges and lanyards are not significantly contaminated with common respiratory or gastrointestinal viruses and are unlikely to be a significant vector for nosocomial infection.

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Section: Discussioncontrasting

confidence: 99%

mentioning

confidence: 99%

Are identity badges and lanyards in pediatrics potentially contaminated with viral pathogens?

Ting

Cheng

Kotsanas

et al. 2015

American Journal of Infection Control

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“…Decontamination of lanyards (by 16% of staff) was less prevalent in this study compared to previous reports (27%) [7]. The lanyards that had been cleaned within the previous two months exhibited significantly less bacterial contamination.…”

Section: Discussioncontrasting

confidence: 76%

“…The frequencies with which methicillin-sensitive S. aureus (MSSA) and MRSA were cultured from fabric lanyards in this study (5% and 0%, respectively) were less than those reported by Kotsanas et al (24% and 6%) [8]; however, these numbers were greater than those reported by Alexander et al (2% and 0%) [7]. The metal-bead lanyards were significantly less contaminated than were the fabric lanyards.…”

Section: Discussioncontrasting

confidence: 70%

“…However, lanyards that bear identity cards are universal, and it is possible that the handling and adjustment of lanyards might recontaminate recently disinfected hands. To our knowledge, there are only two published studies about aerobic bacterial contamination of fabric (but not metal-bead) lanyards [7,8], and clostridia were not looked for in these studies. Therefore, the present study examined whether these two types of lanyards harbor potentially pathogenic bacteria including clostridia.…”

Section: Introductionmentioning

confidence: 99%

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Bacterial contamination of fabric and metal-bead identity card lanyards: A cross-sectional study

Pepper

Hicks

Glass

et al. 2014

Journal of Infection and Public Health

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In healthcare, fabric or metal-bead lanyards are universally used for carrying identity cards. However there is little information on microbial contamination with potential pathogens that may readily re-contaminate disinfected hands. We examined 108 lanyards from hospital staff. Most grew skin flora but 7/108 (6%) had potentially pathogenic bacteria: four grew methicillin-susceptible Staphylococcus aureus, and four grew probable fecal flora: 3 Clostridium perfringens and 1 Clostridium bifermentans (one lanyard grew both S. aureus and C. bifermentans). Unused (control) lanyards had little or no such contamination. The median duration of lanyard wear was 12 months (interquartile range 3-36 months). 17/108 (16%) of the lanyards had reportedly undergone decontamination including wiping with alcohol, chlorhexidine or chlorine dioxide; and washing with soap and water or by washing machine. Metal-bead lanyards had significantly lower median bacterial counts than those from fabric lanyards (1 vs. 4 CFU/cm(2); Mann-Whitney U=300.5; P<0.001). 12/32 (38%) of the metal-bead lanyards grew no bacteria, compared with 2/76 (3%) of fabric lanyards. We recommend that an effective decontamination regimen be instituted by those who use fabric lanyards, or that fabric lanyards be discarded altogether in preference for metal-bead lanyards or clip-on identity cards.

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Identification badge lanyards as infection control risk: a cross-sectional observation study with epidemiological analysis

Murphy

Ruscio

Lynskey

et al. 2017

Journal of Hospital Infection

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Staphylococcus aureus cultures from name badge lanyards were phenotypically and genotypically indistinguishable from the wearer's nasal carrier strains by pulsed-field gel electrophoresis and antibiogram. Lanyards had a mean age of 22 months and hygiene was poor with only 9% ever having been laundered. Molecular analysis showed that 26% of S. aureus nasal carriers shared an indistinguishable strain on their lanyard. Lanyards should not be recommended for staff in frontline clinical care.

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Are lanyards a risk for nosocomial transmission of potentially pathogenic bacteria?

Cited by 6 publications

References 5 publications

Are identity badges and lanyards in pediatrics potentially contaminated with viral pathogens?

Are identity badges and lanyards in pediatrics potentially contaminated with viral pathogens?

Bacterial contamination of fabric and metal-bead identity card lanyards: A cross-sectional study

Identification badge lanyards as infection control risk: a cross-sectional observation study with epidemiological analysis

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