Lena Pavlina, Ishak Angela, Karageorgos Spyridon A, Tsioutis Constantinos
School of Sciences, European University Cyprus, Nicosia 2404, Cyprus.
School of Medicine, European University Cyprus, Nicosia 2404, Cyprus.
Trop Med Infect Dis. 2021 Mar 31;6(2):42. doi: 10.3390/tropicalmed6020042.
Contaminated healthcare workers' (HCW) clothing risk transferring methicillin-resistant (MRSA) in healthcare facilities. We performed a systematic review in Pubmed and Scopus for 2000-2020 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines to analyze evidence of MRSA on HCW attire. The primary study outcome was MRSA isolation rates on HCW clothing in healthcare settings. Out of 4425 articles, 23 studies were included: 18 with 1760 HCWs, four with 9755 HCW-patient interactions and one with 512 samples. There was a notable variation in HCWs surveyed, HCW attires, sampling techniques, culture methods and laundering practices. HCW attire was frequently colonized with MRSA with the highest rates in long-sleeved white coats (up to 79%) and ties (up to 32%). Eight studies reported additional multidrug-resistant bacteria on the sampled attire. HCW attire, particularly long-sleeved white coats and ties, is frequently contaminated with MRSA. Banning certain types and giving preference to in-house laundering in combination with contact precautions can effectively decrease MRSA contamination and spread.
受污染的医护人员服装有在医疗机构传播耐甲氧西林金黄色葡萄球菌（MRSA）的风险。我们根据系统评价和Meta分析的首选报告项目（PRISMA）指南，于2000年至2020年在PubMed和Scopus上进行了一项系统评价，以分析医护人员服装上MRSA的证据。主要研究结果是医疗机构中医护人员服装上的MRSA分离率。在4425篇文章中，纳入了23项研究：18项涉及1760名医护人员，4项涉及9755次医护人员与患者的互动，1项涉及512个样本。在接受调查的医护人员、医护人员服装、采样技术、培养方法和洗涤做法方面存在显著差异。医护人员服装经常被MRSA定植，长袖白大褂（高达79%）和领带（高达32%）的定植率最高。八项研究报告了采样服装上存在其他多重耐药细菌。医护人员服装，特别是长袖白大褂和领带，经常被MRSA污染。禁止某些类型的服装并优先选择内部洗涤，结合接触预防措施，可以有效减少MRSA的污染和传播。
