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283189

Could Training Programs Eliminate Hospital Environmental Surfaces Contamination with Multidrug Resistant Bacteria

Article

Last updated: 05 Jan 2025

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Tags

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Abstract

Background: Hospital environment could be a risk for transmission of nosocomial infections. Objectives: This study aimed to evaluate the effect of training program on the elimination of microbial contamination of hospital environmental surfaces, devices and health care workers (HCWs) hands. Methodology: Two phases interventional study was conducted for basal evaluation and training of HCWs and housekeepers on standard precautions with evaluation of environmental surfaces, devices and hands contamination at basal level before as well as after routine cleaning and hand hygiene, also after implantation of a training program. Results: Significant reduction of environmental surfaces and devices contamination was detected after educational intervention at all departments (p-value >0.001). The most common isolate was S. aureus in operating rooms, orthopedic, and general surgery departments (44.4%, 26.9%, and 22.2% respectively), E.coli was the most common isolate in urology department (21.8%). Bed ledges/ bed arms samples showed the highest contamination level (39%) while curtain edges showed the least contamination site (4.2%). Nurses had the lowest frequency of hand contamination (30%) followed by physicians, the highest hand contamination recorded for housekeepers (50%). E.coli isolated from 47.4% of hands. The most isolated Multidrug Resistant Bacteria was MRSA (54.3%) followed by ESBLs producing E.coli (38.7%). After education there were significant improvements in practice observed for all subjects (p-value< 0.05) and environmental contamination decreased to zero level. Conclusion: Intervention with a training program has a positive impact on elimination of hospital environment contamination

DOI

10.21608/ejmm.2019.283189

Keywords

Environmental contamination, MDR, HCWs, training programs

Authors

First Name

Rasha

Last Name

Bassyouni

MiddleName

-

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Fayoum University, Egypt

Email

rhb00@fayoum.edu.eg

City

Giza

Orcid

0000-0003-2468-4948

First Name

Sylvana

Last Name

Gaber

MiddleName

N.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Fayoum University, Egypt

Email

drsylvy80@gmail.com

City

-

Orcid

-

First Name

Asmaa

Last Name

Elsary

MiddleName

Y.

Affiliation

Department of Public Health and Community Medicine, Faculty of Medicine, Fayoum University, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Arafa

MiddleName

S.

Affiliation

Department of Orthopaedic surgery, Faculty of Medicine, Fayoum University, Egypt

Email

-

City

-

Orcid

-

Volume

28

Article Issue

3

Related Issue

39243

Issue Date

2019-07-01

Receive Date

2023-01-30

Publish Date

2019-07-01

Page Start

163

Page End

170

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_283189.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=283189

Order

283,189

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Could Training Programs Eliminate Hospital Environmental Surfaces Contamination with Multidrug Resistant Bacteria

Details

Type

Article

Created At

28 Dec 2024