Khashei Reza, Ebrahim-Saraie Hadi Sedigh, Hadadi Mahtab, Ghayem Maysa, Shahraki Hadi Raeisi
Department of Bacteriology and Virology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Razi Clinical Research Development Center, Guilan University of Medical Sciences, Rasht, Iran.
Infect Disord Drug Targets. 2019;19(3):327-333. doi: 10.2174/1871526518666180830165732.
Cell phones have become one of the necessary means of life and they are commonly used almost everywhere by every population. Colonized microorganisms on cell phones can be easily cross-transmitted. Given the widespread prevalence of nosocomial infections, this study aimed to determine the frequency of bacterial contamination and antibiotic resistance in cell phones of healthcare workers (HCWs) in a tertiary care hospital, from southwest of Iran. In this cross-sectional study conducted between April and June 2016, sampling were performed from cell phones of 25 nurses and 75 medical students.
Samples were collected from each cell phone by a moistened cotton swap dipped in normal saline prior and after decontamination with available alcohol-based handrubs. Identification of bacterial isolates was performed by conventional microbiologic methods. Antibiotic susceptibility pattern of the isolates was determined using the disk diffusion method. The contamination rates of cell phones prior and after disinfection were 88% and 52%, respectively. Ninety-nine (71.2%) out of 139 isolated distinct bacterial colonies prior to cleaning were potentially nosocomial pathogens. Of them, staphylococci (88.9%) were the most prevalent bacteria, in which 40.9% were methicillin-resistant isolates. The majority of Gram-positive and - negative isolates were susceptible to the tested antimicrobials. Totally, contamination rate of cell phones was significantly reduced after decontamination. Regular disinfection of the hands and cell phones was significantly associated with reduction of colonization of the methicillin-resistant isolates.
RESULT & CONCLUSION: These findings emphasize the restricted use of cell phones and encourage the higher compliance with hygienic practices in hospitals to reduce the risk of nosocomial infections.
手机已成为生活中的必需品之一,几乎在各个地方被各类人群广泛使用。手机上定植的微生物容易发生交叉传播。鉴于医院感染的广泛流行,本研究旨在确定伊朗西南部一家三级护理医院医护人员手机上细菌污染及抗生素耐药性的频率。在这项于2016年4月至6月进行的横断面研究中,对25名护士和75名医学生的手机进行了采样。
在使用现有的含酒精洗手液进行消毒前后,用蘸有生理盐水的湿棉拭子从每部手机上采集样本。通过常规微生物学方法对细菌分离株进行鉴定。采用纸片扩散法测定分离株的抗生素敏感性模式。手机消毒前后的污染率分别为88%和52%。清洁前分离出的139个不同细菌菌落中,99个(71.2%)可能是医院感染病原体。其中,葡萄球菌(88.9%)是最常见的细菌,其中40.9%是耐甲氧西林分离株。大多数革兰氏阳性和阴性分离株对测试的抗菌药物敏感。总体而言,消毒后手机的污染率显著降低。手部和手机的定期消毒与耐甲氧西林分离株定植的减少显著相关。
这些发现强调了手机的限制使用,并鼓励医院中更高程度地遵守卫生规范,以降低医院感染风险。