How Often Are Healthcare Personnel Hands Colonized with Multi-Drug Resistant Organisms? A Systematic Review and Meta-Analysis
dc.contributor.author | Schildhouse, R | |
dc.contributor.author | Ana Montoya, MD | |
dc.contributor.author | Anupama Goyal, MBChB | |
dc.contributor.author | Jason D Mann, MSA | |
dc.contributor.author | Ashley Snyder, MPH | |
dc.contributor.author | Vineet Chopra, MD | |
dc.contributor.author | Lona Mody, MD | |
dc.coverage.spatial | United States | |
dc.date.accessioned | 2023-05-01T22:59:25Z | |
dc.date.available | 2023-05-01T22:59:25Z | |
dc.date.issued | 2018-01-01 | |
dc.identifier.issn | 0196-6553 | |
dc.identifier.issn | 1527-3296 | |
dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pubmed/30527283 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/176336 | en |
dc.description.abstract | 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 CENTRAL 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 (I2 = 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. | |
dc.format.medium | Print-Electronic | |
dc.language | eng | |
dc.publisher | Elsevier | |
dc.rights | Licence for published version: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.subject | Acute care | |
dc.subject | Hand cultures | |
dc.subject | Hand hygiene | |
dc.subject | Health care provider hands | |
dc.subject | Nursing facility | |
dc.subject | Bacteria | |
dc.subject | Bacterial Infections | |
dc.subject | Drug Resistance, Multiple, Bacterial | |
dc.subject | Hand | |
dc.subject | Health Personnel | |
dc.subject | Hospitals | |
dc.subject | Humans | |
dc.subject | North America | |
dc.subject | Nursing Homes | |
dc.subject | Prevalence | |
dc.title | How Often Are Healthcare Personnel Hands Colonized with Multi-Drug Resistant Organisms? A Systematic Review and Meta-Analysis | |
dc.type | Article | |
dc.identifier.pmid | 30527283 | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/176336/2/Americal Journal of Infection control. MDRO.pdf | |
dc.identifier.doi | 10.1016/j.ajic.2018.10.017 | |
dc.identifier.doi | https://dx.doi.org/10.7302/7186 | |
dc.identifier.source | American Journal of Infection Control | |
dc.description.version | Published version | |
dc.date.updated | 2023-05-01T22:59:23Z | |
dc.identifier.volume | online | |
dc.identifier.issue | 6 | |
dc.identifier.startpage | 693 | |
dc.identifier.endpage | 703 | |
dc.identifier.name-orcid | Schildhouse, R | |
dc.identifier.name-orcid | Ana Montoya, MD | |
dc.identifier.name-orcid | Anupama Goyal, MBChB | |
dc.identifier.name-orcid | Jason D Mann, MSA | |
dc.identifier.name-orcid | Ashley Snyder, MPH | |
dc.identifier.name-orcid | Vineet Chopra, MD | |
dc.identifier.name-orcid | Lona Mody, MD | |
dc.working.doi | 10.7302/7186 | en |
dc.owningcollname | Internal Medicine, Department of |
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