Rashid T, VonVille H M, Hasan I, Garey K W
University of Houston College of Pharmacy, Houston, TX, USA.
The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
J Appl Microbiol. 2016 Nov;121(5):1223-1231. doi: 10.1111/jam.13250. Epub 2016 Sep 19.
Shoe 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 Gram-negative 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.
鞋底可能是传染病的传播媒介。尽管已经开展了一些研究来评估鞋底上感染性病原体的流行情况以及去污技术，但从未进行过系统综述。本研究的目的是对文献进行系统综述，以确定鞋底上感染因子的流行情况以及可能的去污策略。使用预定义的搜索策略检索了三个电子文献数据库，该策略用于评估鞋底上感染性病原体的流行情况和去污策略。由两位评审员独立进行质量评估，如有分歧则通过协商解决。确定了13项研究，这些研究支持鞋底是感染性病原体传播媒介这一假设。在医疗环境、社区以及食品工作者中，鞋底上记录有耐甲氧西林金黄色葡萄球菌、艰难梭菌和多重耐药革兰氏阴性菌等病原体。确定了15项研究，这些研究调查了鞋底的去污策略。已经研究了多种去污策略，但没有一种被证明在消毒鞋底方面始终有效。总之，在医疗、社区和动物工作者环境中研究的鞋底上发现微生物病原体的流行率很高。未确定有效的鞋底去污策略。需要开展研究来评估受污染鞋子导致感染性病原体传播的可能性。
