Microbiological evaluation of the hands of health professionals of a private hospital in Itumbiara, Goiás, Brazil

Authors

  • Janaína Custódio
  • Jaciele Ferreira Alves
  • Fernanda Marques Silva
  • Elias José Oliveira von Dolinger
  • Jaqueline Gomes Souza dos Santos
  • Denise von Dolinger de Brito

Keywords:

Contamination, Hand, Health professionals

Abstract

Objective
The purpose of this study was to evaluate qualitatively and quantitatively the
microorganisms present in the hands of health professionals in a private hospital
in Itumbiara (GO), Brazil.
Methods
The study was conducted with 48 health professionals, including three nurses,
29 nurse technicians. five nursing assistants, nine physicians and two radiography
technicians. Samples were obtained by placíng the dominant hand of the health
professional in a sterile polyethylene bag containíng trypticase soy broth
Results
Bacterial count (>106) showed that the hands of nurses, nurse technicians and nursing assistants were very contaminated, The most common microorganisms were coagulase-negatíve Staphylococcus (44.5%) followed 67 Staphylococcus aureus (40.0%). Roughly 70% of the staphylococci were oxacillin-resistant. Gramnegative bacilli were not detected
Conclusion
Hands were very contaminated with bacteria that are epidemiologically important in the hospital environment, demonstrating the need for more frequent and careful hand washing.

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References

Mundy LM. Contamination, acquisition, and transmission of pathogens: implications for research and practice of infection control. Infect Control Hosp Epidemiol. 2008; 29(7):590-2.

Jumaa PA. Hand hygiene: simple and complex. Int J Infect Dis. 2005; 9 (1):3-14.

Banfield KR, Kerr KG, Jones KA, Snelling AM. Hand hygiene and health care-associated tnfections. Lancet Infect Dis. 2007; 7(5):304.

Maskerine C, Loeb M. Improving adherence to hand hygiene among health care workers' J Contin Educ Health Prof. 2006; 26(3):244-51.

Koneman EW, Allen SD, Janda WM, Schreckenberger PC, Winn Jr WC. Diagnóstico microbiológico. 5a. ed. Rio de Janeiro: Medsi; 2001.

Clinical Laboratory Standard Institute. Performance standards for antirnicrobial susceptibility testing. CLSI

approved standard M 100-S 15. Clinical and Laboratory Standards institute, Wayne; 2005 [cited 2008 Mar 9]. Available from: .

Bjerke NB. The evolution: hand washing to hand hygiene guidance. Crit Care Nurs Q. 2004; 27(3): 295-307.

Pittet D. Improving compliance with hand hygiene In: Wenzel RP. Prevention and control of nosocomial infections. Philadelphia: Lippicott Williams & Wilkins; 2003. Chapter 32:524-35.

Pittet D. Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, et a/. Effecttveness of a hospital-wide

programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000; 356(9238):1307-12.

Karabey S, Ay P, Derbentli S, Nakipoglu Y, Esen F. Handwashing frequencies in an intensive care unit. J Hosp Infect. 2002; 50(1):36-41.

Silvestri L, Petros AJ, Sarginson RE, De La CaI MA, Murria AE. Handwashing in the intensive care unit: a big measure with modest effects. J Hosp Infect. 2005; 59(3): 172-9.

Aiello AE. Cimiotti J, Della-Latta P, Larson EL. A comparison of the bacteria found on the hands of "homemakers" and neonatal intensive care unit nurses. J Hosp Infect. 2003; 54(4):310-5.

Lee YL, Cesario T, Lee R, Nothvogel S, Nassar J, Farsad N, ef al. Colonization by Staphylococcus species resistant to methicillin or quinolone on hands of medical personnel in a skilled-nursing facility. Am J Infect Control. 1994; 22(6):346-51.

Sánchez-Payá J, Fuster-Pérez M, García-González C, García-Rodríguez RM, García-Shimizu P, San Juan-Quiles A, ef al. Evaluación de un programa de actualización de las recomendaciones sobre la higiene de manos. An Sist Sanit Navar. 2007; 30(3):343-52.

Larson EL. Hygiene of the skin: when is clean too clean? Emerg Infect Dis. 2001 ; 7(2):225-916. World Health Organization. WHO Guidelines on hand hygiene in health care (advanced draft). Global patient safety challenge 2005-2006: "clean care is safer care". Geneva: WHO; 2006.

Published

2009-02-28

How to Cite

Custódio, J., Alves, J. F., Silva, F. M., Dolinger, E. J. O. von, Santos, J. G. S. dos, & Brito, D. von D. de. (2009). Microbiological evaluation of the hands of health professionals of a private hospital in Itumbiara, Goiás, Brazil. Revista De Ciências Médicas, 18(1). Retrieved from https://seer.sis.puc-campinas.edu.br/cienciasmedicas/article/view/649

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Artigos Originais