Physician as an Infective Vector at a Department of Surgery

Paduszyńska, Katarzyna; Rucińska, Ludmiła Gags Monika; Pomorski, Lech

doi:10.2478/pjs-2014-0091

Cited by 12 publications

(14 citation statements)

References 16 publications

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“…Twenty (33.9%) of the studies were performed after sampling HCP hands on general wards, 38,[42][43][44]47,48,51,55,56,61,67,71,73,74,77,78,85,86,89,92 42,44,46,56,60,[62][63][64]71,72,77,82,85 swab was used in 7 (11.9%), 38,47,49,65,73,75,86 and subungual scraping was used in 1 (1.7%). 61 One study did not specify a collection method.…”

Section: Search Results and Study Detailsmentioning

confidence: 99%

“…Across 14 studies, the pooled prevalence of A baumannii was 6.18% (95% CI, 3.05-10.17), 39,43,48,51,52,59,62,65,66,75,78,79,81,83 with a high level of heterogeneity observed (I 2 = 88.7%, P < .001). Regarding geography, 7 studies were conducted in Asia, 43,48,52,66,75,78,81 3 in Europe, 59,65,79 2 in North America, 39,51 and 1 each in South America 62 and Australia. 83 Six studies reported data from the ICU, 39,48,52,59,75,83 5 from the mixed inpatient group, 62,65,66,79,81 4 from the general ward, 43,48,51,78 and 1 from a nursing facility.…”

Section: Gram-negative Organisms (A) P Aeruginosa and A Baumanniimentioning

confidence: 99%

“…20 (33.9%) in an ICU setting,39,45,46,48,52,55,58-60,69-71, 75-77,82,83,87,91,95 19 (32.2%) in mixed inpatient settings,37,40,41,49,50,57,62,[64][65][66]68,72,[79][80][81]84,90,93,94 and 5 (8.5%) in nursing facilities 39,53,54,63,88. Regarding HCP activities performed at time of ,53, 54,58,68-70,78,79,81,87-89,91,92,95 moist swab (using sterile saline solution or nutrient broth) was used in 17 (28.9%),37,41,43,50,52,55,57,59,66,67,74,76,80,83,84,90,94 agar direct contact (plates or applicators with solid media) was used in 13 (22%),…”

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confidence: 99%

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How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis

Montoya

Schildhouse

Goyal

et al. 2019

American Journal of Infection Control

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Background: Hands of health care personnel (HCP) can transmit multidrug-resistant organisms (MDROs), resulting in infections. Our aim was to determine MDRO prevalence on HCP hands in adult acute care and nursing facility settings. Methods: A systematic search of PubMed/MEDLINE, Web of Science, CINAHL, Embase, and Cochrane CEN-TRAL was performed. Studies were included if they reported microbiologic culture results following HCP hands sampling; included prevalent MDROs, such as methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus, Clostridium difficile, Acinetobacter baumannii, or Pseudomonas aeruginosa, and were conducted in acute care or nursing facility settings. Results: Fifty-nine articles comprising 6,840 hand cultures were included. Pooled prevalence for MRSA, P aeruginosa, A baumannii, and vancomycin-resistant Enterococcus were 4.26%, 4.59%, 6.18%, and 9.03%, respectively. Substantial heterogeneity in rates of pathogen isolation were observed across studies (I 2 = 81%-95%). Only 4 of 59 studies sampled for C difficile, with 2 of 4 finding no growth. Subgroup analysis of MRSA revealed the highest HCP hand contamination rates in North America (8.28%). Sample collection methods used were comparable for MRSA isolation (4%-7%) except for agar direct contact (1.55%). Conclusions: Prevalence of common MDROs on HCP hands vary by pathogen, care setting, culture acquisition method, study design, and geography. When obtained at an institutional level, these prevalence data can be utilized to enhance knowledge, practice, and research to prevent health care−associated infections.

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Section: Search Results and Study Detailsmentioning

confidence: 99%

Section: Gram-negative Organisms (A) P Aeruginosa and A Baumanniimentioning

confidence: 99%

mentioning

confidence: 99%

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How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis

Montoya

Schildhouse

Goyal

et al. 2019

American Journal of Infection Control

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“…Paduszyńska et al . () studied contamination of shoe soles of physicians before and after patient care rounds using swabs samples processed through the National Coordination center of Poland. Methicillin‐resistant Staphylococcus aureus (MRSA) and Enterococcus faecalis were identified on the shoe soles of 56% of physicians before rounds and 65% after rounds.…”

Section: Resultsmentioning

confidence: 99%

Shoe soles as a potential vector for pathogen transmission: a systematic review

et al. 2016

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SummaryShoe soles are possible vectors for infectious diseases. Although studies have been performed to assess the prevalence of infectious pathogens on shoe soles and decontamination techniques, no systematic review has ever occurred. The aim of this study was to perform a systematic review of the literature to determine the prevalence of infectious agents on shoe bottoms and possible decontamination strategies. Three electronic bibliographic databases were searched using a predefined search strategy evaluating prevalence of infectious pathogens on shoe bottoms and decontamination strategies. Quality assessment was performed independently by two reviews with disagreements resolved by consensus. Thirteen studies were identified that supported the hypothesis that shoe soles are a vector for infectious pathogens. Methicillin-resistant Staphylococcus aureus, Clostridium difficile and multidrug-resistant Gramnegative species among other pathogens were documented on shoe bottoms in the health care setting, in the community and among food workers. Fifteen studies were identified that investigated decontamination strategies for shoe soles. A number of decontamination strategies have been studied of which none have been shown to be consistently successful at disinfecting shoe soles. In conclusion, a high prevalence of microbiological pathogens was identified from shoe soles studied in the health care, community and animal worker setting. An effective decontamination strategy for shoe soles was not identified. Studies are needed to assess the potential for contaminated shoes to contribute to the transmission of infectious pathogens.

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“…In the United Kingdom and the United States, the COVID-19 test results showed that front-line HCWs have a 11-fold increased positive rates as compared to the general community 7 . Secondly, a previous study assessing the risk of infection transmission from physicians to patients through the hands, equipment and enclosing surfaces showed that physicians played an important role in spreading of nosocomial infections 8 . Therefore, the prevention and control of the infection among HCWs have protective effect both on patients and medical staff.…”

Section: Introductionmentioning

confidence: 99%

Intention to COVID-19 vaccination and associated factors among health care workers: A systematic review and meta-analysis of cross-sectional studies

Luo¹,

Yang²,

Liu³

et al. 2021

American Journal of Infection Control

109

114

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Physician as an Infective Vector at a Department of Surgery

Abstract: 1. Physicians are important factor of bacterial transmission in hospital. 2. Hands, stetoscopes and particularly soles of shoes of medical staff is the source of infection.

Cited by 12 publications

References 16 publications

How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis

How often are health care personnel hands colonized with multidrug- resistant organisms? A systematic review and meta-analysis

Shoe soles as a potential vector for pathogen transmission: a systematic review

Intention to COVID-19 vaccination and associated factors among health care workers: A systematic review and meta-analysis of cross-sectional studies

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